鼻内镜下低温等离子技术在鼻前庭囊肿治疗中的应用*

Low temperature controlled plasma technology by nasal endoscopy in treatment of nasal vestibular cyst*

摘要:

目的??比较鼻内镜辅助下低温等离子技术与传统唇龈沟入路在鼻前庭囊肿手术中的疗效。方法?收集2013年1月－2016年11月在右江民族医学院附属医院耳鼻咽喉头颈外科收住的鼻前庭囊肿患者共38例，分为对照组20例和实验组18例，对照组采用唇龈沟入路手术，实验组采用鼻内镜辅助下低温等离子消融，比较两组患者手术时间、术中出血量、术后住院时间、术后并发症以及复发情况等。结果?实验组与对照组比较，平均手术时间减少[（65.45±27.51）vs（34.72±17.61）min，P =0.000]、术中出血量减少[（22.35±18.41）vs（3.17±1.69）ml，P =0.000]、术后住院时间缩短[（6.35±0.75）vs（3.61±1.19）d，P =0.000]和术后并发症减少（16 vs 1，P =0.000），两组复发情况差异无统计学意义（1 vs 0，P =0.783）。结论?鼻内镜辅助下低温等离子技术治疗鼻前庭囊肿相对于传统唇龈沟入路，具有时间短、创伤小、恢复快、操作简单和疗效好的优势，值得推广。

Abstract:

Objective?To compare the efficacy of low temperature controlled plasma technology by nasal endoscopy and cystectomy via labiogingival groove approach in treatment of nasal vestibular cyst.?Methods?38 patients with nasal vestibular cyst from Jan 2013 to Nov 2016 were selected and randomly divided into control group (n = 20) and observation group (n = 18). The control group received cystectomy via labiogingival groove approach and the observation group received low temperature controlled plasma technology by nasal endoscopy. The time of surgery, bleeding volume in surgery, hospitalization, postoperative complications and relapse were collected and compared between the two groups.?Results?We found that the observation group have less surgery time than that in control group [(65.45 ± 27.51) vs (34.72 ± 17.61) min, P = 0.000], less bleeding volume in surgery [(22.35 ± 18.41) vs (3.17 ± 1.69) ml, P = 0.000), less postoperative complications [(6.35 ± 0.75) vs (3.61 ± 1.19) d, P = 0.000] and less postoperative complications (16 vs 1, P = 0.000), but relapse of the two groups have no statistical difference (1 vs 0, P = 0.783).?Conclusions?Low temperature controlled plasma technology by nasal endoscopy in treatment of nasal vestibular cyst have many advantages than cystectomy via labiogingival groove approach such as shorter time of surgery, less bleeding volume in surgery, shorter hospitalization and less postoperative complications. Therefore it’s worth of applying clinically.