鼻内镜下揭盖法治疗鼻前庭囊肿24例临床观察.doc

鼻内镜下揭盖法治疗鼻前庭囊肿24例临床观察
【摘要】目的观察鼻内镜下揭盖术治疗鼻前庭囊肿的临床效果。方法在鼻内镜下对24例患者行鼻前庭囊肿揭盖术。结果24例均获治愈,无并发症,随访半年以上,均未见囊肿复发和并发症。结论鼻内镜下揭盖术治疗鼻前庭囊肿具有手术精确、创伤小、愈合快、并发症少等优点,值得临床推广。
【关键词】鼻内镜鼻前庭囊肿揭盖术 Endoscopic treatment of nasal vestibular cyst uncover a clinical
observation of 24 cases
SHE guo-yue,TANG bing-hua
(The Sixth People's Hospital of Chengdu,Chengdu610051 ,Sichuan,China)
【Abstract】Objective: To observe the effect of uncovering under nasal endoscopy in treatment of nasal vestibular cyst. Methods: 24 patients with nasal vestibular cyst were treated by uncovering under nasal : All of 24 cases were cured plications, and followed-up more than half a year, no cyst recurrence plications were : Uncovering under nasal endoscopy in treatment of nasal vestibular cyst is characterized by accurate, minimally invasive, fast healing, pliations and so on, thus is worthy of clinical application.
【Key words】nasal endoscopy,nasal vestibular cyst, uncovering method
鼻前庭囊肿(nasal vestibular cyst)是发生在鼻前庭皮下、上颌牙槽突骨表面上的一种良性病变,其生长缓慢,早期无症状,合并感染时疼痛加重,囊肿生长迅速,可压迫上颌骨形成骨质缺损[1]。传统以唇龈沟进路囊肿摘除术为主,但因术中囊壁切除不彻底而易致术后复发及牙龈瘘形成。2009年3月~2010年7月采用鼻内镜鼻前庭囊肿揭盖术治疗鼻前庭囊肿24例,取得满意的疗效,报道如下。
1临床资料
24例鼻前庭囊肿均为我科门诊患者。其中男10例,女14例,年龄28~66岁,平均47岁,~21年,均为单侧,~:其中2例复发,3例合并感染,形成脓囊肿。
(男性刮胡须),患者取仰卧位,按鼻部手术常规消毒包头铺巾,%%肾上腺素棉片表面麻醉并收缩患侧鼻腔粘膜,再用1%%肾上腺素做患者眶