摘要
目的:探讨鼻内镜下联合入路上颌窦良性病变的手术方法和临床价值。方法:回顾性分析经鼻内镜下中鼻道联合下鼻道泪前隐窝入路手术治疗27例单侧上颌窦良性病变患者临床资料,观察临床效果。结果:所有患者术中或术后均经病理证实为良性病变,排除恶性肿瘤。随访12~24个月,所有患者术腔上皮化,下鼻甲形态良好,均无溢泪发生。仅1例乳头状瘤术后2个月复发,局部处理后随访至今未见复发。结论:经鼻内镜下鼻道扩大泪前隐窝入路治疗上颌窦良性病变创伤小,手术视野广阔清晰,能够准确完整地清除病变,术腔符合鼻腔的生理结构和功能需要,具有很高的临床实用价值。
Objective:To study surgical techniques and clinical applications of the intranasal endoscopic combined approach in maxillary sinus benign lesions surgery.Method:A retrospective clinical analysis of 27 patients whose unilateral maxillary sinus benign lesions operated by the intranasal endoscopic middle meatus with inferior meatus tears recess approach surgical treatment was studied.Result:Benign lesions were confirmed by pathology in all patients before and after surgery as to rule out malignancy.All patients had been followed up for 12 to 24 months.Twenty-seven cases resulted in normal luminal epithelium and inferior turbinate shape after surgery.Only one case of papilloma relapsed 2 months after operation.So far,the papilloma has not recurred after the second surgery.There were no epiphora in all cases.Conclusion:Endonasal endoscopic expand anterior tears recess approach have great and clear view.This approach made us accurately,mini-invade and completely remove the maxillary sinus benign lesions.It is a physiological and functional surgery and has great advantage in the nasal cavity disease treatment.
出处
《临床耳鼻咽喉头颈外科杂志》
CAS
CSCD
北大核心
2012年第23期1070-1072,1076,共4页
Journal of Clinical Otorhinolaryngology Head And Neck Surgery
关键词
鼻内镜手术
上颌窦
囊肿
鼻息肉
内翻性乳头状瘤
endoscopic sinus surgery
maxillary sinus
cysts
nasal polyps
inverted papilloma