标题：鼻前庭囊肿改良式揭盖法在门诊手术治疗中的应用

      作者：陈其国，李小虎，汪琼，孙群，李浩，何晶晶    (深圳市宝安区石岩人民医院耳鼻咽喉科，广东 深圳 518108)

      卷次： 2018年29卷20期

      【摘要】 目的 探讨鼻前庭囊肿改良式揭盖法在门诊手术治疗中的应用效果。方法 回顾性分析深圳市宝安区石岩人民医院2012年1月至2016年12月治疗的52例确诊为鼻前庭囊肿患者的临床资料，按治疗方案的不同分为住院治疗组(28例)和门诊改良组(24例)，分别行常规鼻内镜下鼻前庭囊肿揭盖术和鼻前庭囊肿改良式揭盖术，比较两组患者的治疗效果、治疗时间、治疗费用及疼痛时间。结果 两组患者的手术治愈率均为100%，但治疗组的住院治疗时间为(120±12.36) h，长于门诊改良组的(2.5±1.24) h，治疗费用为(7 450±55.27)元，多于门诊改良组的 (955±23.56)元，疼痛时间为 (2.55±0.18) d，明显长于门诊改良组的 (1.80±0.12) d，差异均有统计学意义 (P<0.05)。结论 鼻内镜下鼻前庭囊肿改良式揭盖术在门诊手术治疗鼻前庭囊肿，既保证了治疗效果，又可大大节省了治疗费用及治疗时间，减轻了患者的痛苦，尤其适合在基层医院应用。
      【关键词】 鼻前庭囊肿；揭盖法；改良式；门诊；疗效
      【中图分类号】 R765.2 【文献标识码】 A 【文章编号】 1003—6350（2018）20—2906—03

Application of improved excavation method for nasal vestibular cysts in outpatient surgery.
CHEN Qi-guo, LIXiao-hu, WANG Qiong, SUN Qun, LI Hao, HE Jing-jing. Department of Otolaryngology, Bao'an District Shiyan People'sHospital of Shenzhen, Shenzhen 518108, Guangdong, CHINA
【Abstract】 Objective To investigate the application effect of improved excavation method for nasal vestibularcyst in outpatient surgery. Methods A retrospective analysis of clinical data of 52 patients was performed, who were di-agnosed with nasal vestibular cyst and treated in the Bao'an District Shiyan People's Hospital of Shenzhen from January2012 to December 2016. According to the different treatment options, the patients were divided into an inpatient treat-ment group (28 cases) and out-patient improvement group (24 cases), and were treated with conventional endoscopic dis-section method and improved excavation method for nasal vestibular cyst, respectively. The treatment effect, treatmenttime, treatment cost and pain time of the two groups of patients were compared. Results The surgical recovery rate was100% in both groups. However, the hospitalization time in the inpatient treatment group was (120±12.36) hours, whichwas longer than (2.5 ± 1.24) hours in the outpatient improvement group; the treatment cost was (7 450 ± 55.27) yuan,which was more than (955±23.56) yuan in the outpatient improvement group; and the pain time was (2.55±0.18) days,which was significantly longer than (1.80±0.12) days in the outpatient improvement group; these differences were all sta-tistically significant (P<0.05). Conclusion The improved excavation method for nasal vestibular cysts under nasal endoscopyin outpatient surgery not only ensures the therapeutic effect, but also greatly saves the treatment cost and treatment time, and re-duces the pain of the patient. It is especially suitable for application in primary hospitals.
      【Key words】 Nasal vestibular cysts; Excavation method; Improved; Outpatient service; Curative effect·短篇论著·doi:10.3969/j.issn.1003-6350.2018.20.029基金项目：2018年广东省深圳市宝安区医疗卫生基础研究项目(编号：2018JD225)