目的:比较阴唇下切除和经鼻内镜袋式手术的术中和术后结局,鼻唇沟囊肿的两种主要手术方法。
方法:对PubMed,Embase,还有Cochrane图书馆.
方法:诊断为鼻唇沟囊肿并接受手术治疗的患者。
方法:手术时间,术后疼痛,术后总并发症,录取率,住院时间,使用全身麻醉,医疗费用,和复发率。
结果:汇总分析显示,经鼻内镜袋状化组的手术时间较短(平均差异[MD],-32.51;95%置信区间[CI],-38.52至-26.51),减少术后疼痛(MD,-4.25;95%CI,-7.62至-0.89),术后总体并发症较少(风险差异[RD],-0.68;95%CI,-0.90至-0.46),较低的录取率(RD,-0.86;95%CI,-1.11至-0.61),住院时间较短(MD,-1.74;95%CI,-2.58至-0.89),减少全身麻醉的使用(RD,-0.40;95%CI,-0.76至-0.03),并降低了医疗成本(MD,-229.69;95%CI,-338.64至-120.75)。两组间复发率无显著差异(RD,-0.01;95%CI,-0.05至0.04)。
结论:经鼻内镜有袋成形术是治疗鼻唇下囊肿的一种有希望的替代方法。它提供的优点,如减少手术时间,术后疼痛减轻,并发症少,较低的录取率,缩短住院时间,对全身麻醉的需求减少,和成本节约。临床医生可以利用这些发现为患者选择最合适的手术方法。
OBJECTIVE: To compare the intraoperative and postoperative outcomes of sublabial excision and transnasal endoscopic marsupialization, the two primary surgical approaches for nasolabial cysts.
METHODS: A comprehensive meta-analysis of studies identified from PubMed, Embase, and the Cochrane Library.
METHODS: Patients diagnosed with nasolabial cysts who underwent surgical treatment.
METHODS: Operative time, postoperative pain, overall postoperative complications, admission rate, length of hospital stay, use of general anaesthesia, medical costs, and recurrence rate.
RESULTS: The pooled analysis revealed that the transnasal endoscopic marsupialization group had shorter operative time (mean differences [MD], -32.51; 95% confidence interval [CI], -38.52 to -26.51), reduced postoperative pain (MD, -4.25; 95% CI, -7.62 to -0.89), fewer overall postoperative complications (risk difference [RD], -0.68; 95% CI, -0.90 to -0.46), lower admission rates (RD, -0.86; 95% CI, -1.11 to -0.61), shorter hospital stays (MD, -1.74; 95% CI, -2.58 to -0.89), decreased use of general anaesthesia (RD, -0.40; 95% CI, -0.76 to -0.03), and reduced medical costs (MD, -229.69; 95% CI, -338.64 to -120.75). The recurrence rate between the two groups showed no significant difference (RD, -0.01; 95% CI, -0.05 to 0.04).
CONCLUSIONS: Transnasal endoscopic marsupialization presents as a promising alternative to sublabial excision in the treatment of nasolabial cysts. It offers advantages like reduced operative time, decreased postoperative pain, fewer complications, lower admission rates, shorter hospital stays, diminished need for general anaesthesia, and cost savings. Clinicians can leverage these findings to select the most suitable surgical approach for their patients.