内镜下经下鼻道治疗上颌窦囊肿的临床观察
摘要
目的探讨内镜下经下鼻道开窗技术治疗上颌窦囊肿的临床疗效。方法对2015年4月至2017年10月,对我院收治的单纯性上颌窦囊肿患者应用内镜下经下鼻道开窗治疗,观察其疗效及并发症发生情况。结果 38例患者手术顺利,术中出血少,约10 mL,病变全部清理干净,术后症状全部消失,下鼻道和窦口开放良好,无并发症发生,全部患者均呈临床愈合,术后2周复查钩突在位,鼻腔色泽正常,鼻窦黏膜光滑,下鼻道开口通畅。结论内镜下经下鼻道开窗治疗单纯性上颌窦囊肿临床疗效可靠,无严重不良反应,值得临床推广。
引文
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[10]王颖君.经鼻内镜下不同路径治疗上颌窦囊肿效果比较[J].河南医学研究,2017,26(17):3193-3194.
[2]Li Y H,Zhang H Z.Cutting Aspiratorsare appliedin maxillary sinus cystectomy with nasal endoscope[J].Chin JEndosc,2003,9(6):94.
[3]Zhao WB,Fang ZS,Zhao WH.Three different approach of the treatment of maxillary sinus cyst with nasal endoscope[J].Chin JEndosc,2002,10(8):64.
[4]Steier L,Steier G,Dogramaci EJ,et al.Maxillary sinus unilateral aplasia as an incidental finding following cone-beam computed(v olumetric)tomography[J].Aust Endod J,2014,40(1):26-31.
[5]Felisati G,Borloni R,Chiapasco M,et al.Maxillary sinus elevation in conjunction with transnasal endoscopic treatment of rhinosinusal pathoses:preliminary results on 10 consecutively treated patients[J].Acta Otorhinolaryngol Ital,2010,30(6):289-293..
[6]Zojaji R,Naghibzadeh M,Mazloum Farsi Baf M,etal.Diagnostic accuracy of cone-beam computed to mography in the evaluation of chronic rhinosinusitis[J].ORL J Otorhinolar yngol Relat Spec,2015,77(1):55-60.
[7]蒲方莹.鼻内镜治疗上颌窦囊肿的手术方法分析[J].世界临床医学,2017,11(5):78.
[8]王春雨,王永福,赵元阳,等.鼻内镜手术治疗突至上颌窦的上颌骨囊肿11例[J].中国眼耳鼻喉科杂志,2017,17(2):132-134.
[9]李永湘,张武宁,毛海燕,等.鼻内镜下累及上颌窦或鼻底的上颌骨囊肿开窗切除术[J].中国医学文摘-耳鼻咽喉科学,2017,32(2):86-87.
[10]王颖君.经鼻内镜下不同路径治疗上颌窦囊肿效果比较[J].河南医学研究,2017,26(17):3193-3194.