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目的:探讨鼻内镜下辅以X-OMED动力旋转刀,经鼻前庭进路行鼻前庭囊肿造袋术的治疗方法。方法:对31例鼻前庭囊肿患者,在鼻内镜下辅以X-OMED动力旋转刀吸切鼻前庭囊肿顶壁上部并扩大其开口,使囊腔与鼻腔合二为一,完整保留剩余的底部囊壁。术后鼻腔填塞碘仿纱条。结果:鼻内镜下经鼻前庭进路辅以X-OMED动力旋转刀吸切暴露于鼻腔的囊肿顶壁,使剩余囊壁与鼻前庭正常皮肤或黏膜创缘相对爬行生长,加快创缘愈合,术后随访1年以上,均未见囊肿复发。结论:鼻内镜下辅以X-OMED动力旋转刀吸切鼻前庭囊肿上壁,施行囊肿造袋术,具有手术精确、创伤小、伤口愈合快等微创手术优点。
Objective: To explore the method of nasal endoscopic X-OMED powered rotary knife nasal vestibular approach for nasal vestibular cyst bagging method. Methods: Thirty-one patients with nasal vestibular cyst were enrolled in this study. The top of the nasal vestibular cyst was enucleated by X-OMED powered rotary knife to enlarge the opening of the nasal vestibulo-cyst in order to make the cyst and nasal cavity combine into one and completely retain the remaining Bottom wall. Postoperative nasal packing iodoform gauze. Results: Nasal endoscopic nasal vestibular approach supplemented with X-OMED power rotary knife suction cut exposed to the top of the nasal cyst wall, so that the remaining wall and nasal vestibular normal skin or mucosal wound relative crawling growth to speed up wound healing , Followed up for more than 1 year, no recurrence of cysts were found. Conclusion: Endoscopic X-OMED powered rotary knife suction cut the nasal vestibular wall on the wall, the implementation of cyst bagging, with precise surgery, trauma, wound healing and other advantages of minimally invasive surgery.