鼻内镜下低温等离子射频消融与传统方式切除鼻前庭囊肿的临床疗效观察

Comparison between low temperature-controlled plasma radio frequency ablation by nasal endoscopy and traditional way in treatment of nasal vestibular cyst

摘要:

目的??比较鼻内镜下低温等离子与传统方式（经齿龈沟径路）行鼻前庭囊肿切除的临床疗效观察分析。方法?选取青海大学附属医院耳鼻咽喉科2010年1月-2016年1月经手术治疗的鼻前庭囊肿患者68例，并将其按照随机分组的方式分为对照组和实验组，其中对照组34例，实验组34例。对照组患者采取传统方式（经齿龈沟径路）行囊肿切除，实验组采取鼻内镜下低温等离子方式行囊肿切除。比较两组患者手术时间、术中出血情况、术后疼痛情况、术后伤口愈合时间及手术并发症等。结果?实验组手术时间、术中出血量、术后疼痛及伤口愈合时间均优于对照组（P <0.05），手术并发症发生率明显低于对照组（P <0.05）。结论?鼻内镜下低温等离子术治疗鼻前庭囊肿具有痛苦少、创伤小、疗效好和并发症少等优点，值得临床应用及推广。

Abstract:

Objective?To compare the clinical efficacy of low temperature-controlled plasma radio frequency ablation by nasal endoscopy with traditional way in treatment of nasal vestibular cyst.?Methods?68 patients with nasal vestibular cyst from January 2010 to January 2016 were selected and randomly divided into control group and observation group, with 34 cases in each group. The control group received traditional way (labiogingival groove approach), while the observation group received low temperature-controlled plasma radio frequency ablation by nasal endoscopy. The operating time, introoperative blood loss, postoperative incision pain, wound healing time and complications were compared between the two groups.?Results?The operating time, introoperative blood loss, postoperative incision pain,wound healing time of observation group were significantly lower than that in control group (P < 0.05). The complication in observation group was lower than that in control group (P < 0.05).?Conclusions?The low temperature-controlled plasma radio frequency ablation by nasal endoscopy holds many advantages: less pain, good efficacy, simple manipulation and lower complications. Therefore, it is worthy of promoting clinical application.