鼻内镜下低温等离子技术在鼻前庭囊肿治疗中的应用

发布时间：2018-01-18 12:25

本文关键词：鼻内镜下低温等离子技术在鼻前庭囊肿治疗中的应用　出处：《中国内镜杂志》2017年07期 　论文类型：期刊论文

【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 effect of endoscope assisted hypothermia plasma technique and traditional lip and gingival sulcus approach in the operation of nasal vestibular cyst. Methods from January 2013 to November 2016 in affiliated Hospital of Youjiang National Medical College. There were 38 cases of nasal vestibular cyst in otolaryngology and head and neck surgery. Two groups were divided into control group (n = 20) and experimental group (n = 18). The patients in the control group were treated with lip and gingival sulcus approach, and the patients in the experimental group were treated with low temperature plasma ablation assisted by nasal endoscope. Results compared with the control group, the average operation time was reduced in the experimental group compared with the control group. [65.45 卤27.51 VSD 34.72 卤17.61 min P0. 000], the amount of blood loss decreased during operation. [The hospital stay was shortened after operation. [The postoperative complications were decreased by 6.35 卤0.75 vs 3.61 卤1.19 d (P < 0.000). There was no significant difference in recurrence between the two groups. Conclusion compared with the traditional approach of lip and gingival sulcus, the treatment of nasal vestibular cyst with low temperature plasma assisted by nasal endoscope has a shorter time. The advantages of small trauma, quick recovery, simple operation and good curative effect are worth popularizing.
【作者单位】：右江民族医学院附属医院耳鼻咽喉头颈外科;右江民族医学院附属医院神经内科;
【基金】：广西自然科学基金项目(No:2013GXNSFBA019193)
【分类号】：R765.9
【正文快照】： 鼻前庭囊肿是耳鼻咽喉头颈外科常见疾病之一,以手术治疗为主,效果比较理想。传统唇龈沟入路治疗效果较好,但住院时间较长,术后患者恢复慢,有大部分出现面部麻木等不适,随着鼻内镜技术的不断拓展,内镜下治疗鼻前庭囊肿取得了较好的效果。本研究在鼻内镜下采用低温等离子技术治

【相似文献】