【摘要】 目的  比較3種方法治療鼻前庭囊腫的優缺點，探討鼻前庭囊腫的最佳治療方法。 方法  2002年1月-2008年6月收治鼻前庭囊腫患者84例，隨機分為3組，分別采用微波、鼻前庭揭蓋術和唇齦溝切口徑路鼻前庭囊腫切除術治療。 結果  84例患者均治愈。3組治療時間和出血量比較均有統計學意義（P lt;0.05）。術后4例發生感染，分別為鼻前庭揭蓋術組1例（3.57%），唇齦溝切口徑路鼻前庭囊腫切除術組3例（10.71%）。隨訪1年，僅微波治療組3例患者（10.71%）因囊腫壁殘留復發，行鼻內鏡下鼻前庭囊腫揭蓋術后治愈。 結論  鼻內鏡下鼻前庭囊腫；揭蓋術具有精確、微創、手術時間短、并發癥少、復發率低等優點。
【Abstract】 Objective  To identify the best treatment method for nasal vestibular cyst by comparing three kinds of operative methods. Methods  Eighty-four patients with nasal vestibular cyst in this department were divided into three groups from January 2002 to June 2008. They were operated by microwave, uncover method under nasal endoscope and cyst cxcision by crevicular lip approach, respectively. Results  All of the 84 patients were cured with 4 infected: one patient (3.57%) was operated by uncover method under nasal endoscope and three patients (10.71%) were operated by cyst excisionby crevicular lip approach. On the contrast of quality of blooding and operating time, there was significant difference among the three operative methods (P lt;0.05). Only three patients (10.71%) operated by microwave recurred after one year of follow-up caused by remained cyst, which were cured after reoperated by uncover method under nasal endoscope. Conclusion  Uncover method under nasal endoscope is an effective operation for treating nasal vestibular cyst with such advantages as less trauma, precise operation, short operative time, and less recurrence.

引用本文： 劉棲如,趙榮. 三種方法治療鼻前庭囊腫的療效比較. 華西醫學, 2010, 25(8): 1468-1470. doi: 復制