摘要
目的：探讨鼻内镜下不同手术径路治疗上颌窦良性病变的疗效。方法：对39例上颌窦良性病变分别采用4种不同手术径路进行治疗，其中18例采用经中鼻道扩大上颌窦自然开口径路，9例采用经鼻内中、下鼻道双径路，11例采用扩大上颌窦自然开口及鼻腔外侧壁切除双径路，1例采用传统Caldwell—Luc径路。结果：术后随访6～12个月，治愈30例，好转7例，复发2例。1例复发为内翻性乳头状瘤患者，再次手术后病理为乳头状鳞状细胞癌，行放疗后失访。1例上颌窦囊肿患者术后8个月在上颌窦其他部位再发，但囊肿小且无临床症状未作处理。结论：针对上颌窦良性病变的特点，在鼻内镜下采取不同的手术径路，对手术疗效的提高及手术创伤的减少起重作用。
Objective：To investigate the effects of different endoscopic surgery approaches in the treatment of maxillary sinus benign lesion. Methods： Thirty-nine cases with maxillary sinus benign lesions were treated with four different surgical approaches, which included 18 with the nasal passage to expand natural opening approach,9 cases with double approaches under the middle and inferior nasal passage, 11 cases with enlarging the natural openings of maxillary sinus combined with nasal lateral wall resection approach and 1 case with traditional Caldwell-Luc approach. Results： All patients were followed up for 6 to 12 months ,30 cases cured ,7 cases improved and 2 cases recurred. One case with inverted papilloma recurred, who was diagnosed with papillary squamous cell carcinoma by pathology after operation and lost to follow-up after radiotherapy. One case with maxillary sinus cyst ocurred in other parts of the maxillary sinus in 8 months after operation, who was untreated because the cyst was small and no clinical symptoms. Conclusions： Different endoscopic surgery approaches can be selected according to the characteristics of maxillary sinus benign lesion, which can improve the clinical effect and reduce surgical trauma.
出处
《蚌埠医学院学报》
CAS
2013年第10期1282-1284,共3页
Journal of Bengbu Medical College
关键词
上颌窦病变
鼻内镜
手术径路
maxillary sinus diseases
nasal endoscope
surgical approach
