【摘要】 目的  比较3种方法治疗鼻前庭囊肿的优缺点，探讨鼻前庭囊肿的最佳治疗方法。 方法  2002年1月-2008年6月收治鼻前庭囊肿患者84例，随机分为3组，分别采用微波、鼻前庭揭盖术和唇龈沟切口径路鼻前庭囊肿切除术治疗。 结果  84例患者均治愈。3组治疗时间和出血量比较均有统计学意义（P lt;0.05）。术后4例发生感染，分别为鼻前庭揭盖术组1例（3.57%），唇龈沟切口径路鼻前庭囊肿切除术组3例（10.71%）。随访1年，仅微波治疗组3例患者（10.71%）因囊肿壁残留复发，行鼻内镜下鼻前庭囊肿揭盖术后治愈。 结论  鼻内镜下鼻前庭囊肿；揭盖术具有精确、微创、手术时间短、并发症少、复发率低等优点。
【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.

Citation： LIU Xiru,ZHAO Rong. Comparison of Effect among Three Kinds of Operative Methods for Nasal Vestibular Cyst. West China Medical Journal, 2010, 25(8): 1468-1470. doi: Copy