文档介绍：鼻前庭囊肿切除术与揭盖术之对比及预后观察唐林甫遂宁市第一人民医院耳鼻咽喉头颈外科(遂宁,629000)通讯作者:唐林甫(tanglinfu@),唐奕1,罗小莉1【摘要】目的:探讨鼻前庭囊肿手术的两种方式(切除术与揭盖术),比较两种方式治疗之间的差异。方法:223例鼻前庭囊肿患者,随机分成囊肿摘除组111例和揭盖组112例,比较两种方式的手术时间、出血量、复发率及上唇麻木、上唇水肿发生率,随访2年。结果:囊肿摘除组:±,±,复发9例、上唇肿胀7例、上唇麻木8例。揭盖组:±,±,复发1例、上唇肿胀0例,上唇麻木0例。揭盖组除1例复发外,3-6月后囊腔消失,鼻前庭恢复正常形态。分别对手术时间、术中出血、术后复发、上唇麻木统计学检验,两组有显著性差异(p<)。结论:鼻前庭囊肿囊肿摘除术和囊肿揭盖术是手术治疗鼻前庭囊肿最常见的两种方法,囊肿揭盖术在手术时间、术中出血、术后复发及上唇麻木、上唇肿胀等并发症方面有明显优势,值得推广。【关键词】鼻前庭囊肿;手术;切除术;揭盖术;parativestudyoftwomethodsofnasalvestibularcystsurgery:theexcisionandtheuncovermethodTangLin-fu1,Tang-Yi1,LuoXiaoli1(DepartmentofOtolaryngology,Thefirstpeople’shospitalofSuining,Suining,629000,China)AbstractObjective:Tostudytwomethodsofnasalvestibularcystsurgery:Theexcisionandtheuncovermethod,:223patientswithnasalvestibularcystwererandomlydividedintotwogroups:111inthestudygroupand112inthecontrolgroupwhowererespectivelyporformedexcisionoruncoversurgeryon,observedtheoperatetime,blood-loss,relapserate,theedemaandnumbnessofepichilein2-yearfollow-:Itcostmean(±)minutesand(±)paretomean(±)minutesand((±))mlbloodtooperateuncovermethod(p<).pareto9inthecontrolgroupwerefoundrelapseintonasalvestibularcystagain(p<).Theexcisionnumbed7andtumefied8epichileswhilenonedidtheuncovermethod(p<).Allpatients,expectthosewhorecrudesced,reco