摘要
目的 :研究新的鼻内窥镜上颌窦手术径路。方法 :采用鼻前庭径路鼻内窥镜上颌窦手术治疗鼻息肉、囊肿、慢性化脓性鼻窦炎 40例、46侧病变窦腔。结果 :随访 6个月~ 2年 ,46侧病变治愈 38侧、好转 8侧 ,有效率 1 0 0 % ,无手术并发症。结论 :本术式可作为鼻内窥镜上颌窦手术一种新的手术进路 ,具有术野清晰 ,明视下操作方便 ,去除病变彻底 ,有利于恢复鼻窦的解剖与生理功能。
Objective:To recommend a new entry for maxillary sinus endoscopy.Method:Forty cases(46 sides of sick maxillary sinus)with polyp or cyst or chronic suppurative inflammation were treated by maxillary sinus endoscopy through nasal vestibule.Results:After 6 months to 2 years follow-up,38 cases were cured,8 were better without complication,and the effective rate was 100%.Conclusion:This opeation is new with short entry,a little trauma and a clear field of operation vision.This method is fit to retain the anatomy and physiological action of paranasal sinus.
关键词
内窥镜鼻窦手术
鼻前庭径路
上颌窦
外科手术
Paranasal sinus endoscopy
Nasal vestibule entry way
Maxillary sinus
Surgery,otorhinolaryngologic