上颌窦炎外科治疗的研究进展

The research progress of maxillary sinusitis surgery

慢性上颌窦炎是耳鼻咽喉头颈外科常见病、多发病,由于解剖学特性,以及鼻窦炎复杂的致病因素,使慢性上颌窦炎的治疗较为困难,常常迁延不愈,严重影响患者的生活质量。因该病治疗上全身用药疗效不佳,不良反应多;局部用药须经下鼻道反复穿刺,且有鼻出血、局部感染及血管空气栓塞等严重并发症,故不易被患者接受。大部分患者经过严格的保守治疗后疗效不佳,仍需考虑手术治疗,故手术对此类患者尤为重要,然而由于鼻腔结构狭窄,给手术带来了一定的困难。

Summary Maxillary sinusitis is a common condition in nose section. Traditional operations are always have more complications and easy to relapse, seriously affectting the quality of patient＇s life. The application of function- al endoscopic sinus surgery （FESS） makes a qualitative progress on surgical treatment of maxillary sinusitis. In re-cent years, the researchs found that there are still unsatisfactories to long-term curative effect of some patients . With the development of minimally invasive, people begin doubting its ＂functional＂. Recently, some new treat- ments have emerged in the world, but their safety and effectiveness needs further research. To seek for a better treatment, this article reviews the development and the existential problems of maxillary sinusitis surgerv.