牙源性上颌窦炎病因和治疗的回顾性分析

Retrospective Study for Etiologies and Treatments of Odontogenic Maxillary Sinusitis

目的：分析牙源性上颌窦炎的病源牙、病因、治疗方法和预后。方法：整理分析2000年1月~2012年12月年于北京大学口腔医院门诊部颌面外科就诊的牙源性上颌窦炎患者的病例。结果：病例共23例,其中11例（47.7%）的病源牙为上颌第一磨牙,18例（78.3%）的病因为慢性根尖炎,治疗方法是病源牙治疗、药物治疗和鼻窦手术的综合治疗,预后良好。结论：第一磨牙为牙源性上颌窦炎最常见病源牙,慢性根尖炎为最常见病因。综合治疗方法效果良好。

Objective：To analyze the affected tooth,the common causes,the treatments and the outcomes of odontogenic maxillary sinusitis.Methods：Cases about patients affected by odontogenic maxillary sinusitis in First Clinical Division of Peking University School and Hospital of Stomatology from January 2000 to December 2012 were collected and retrospectively analyzed.Results：23cases were collected.The diseases of maxillary first molars caused 47.7% of odontogenic maxillary sinusitis cases.Chronic periapical periodontitis caused 78.3% of odontogenic maxillary sinusitis cases.The treatments should combine treating dental diseases,medicine and sinus surgeries.The outcomes were satisfactory.Conclusion：Diseases of maxillary first molars were the most common to cause odontogenic maxillary sinusitis.Most of odontogenic maxillary sinusitis were caused by chronic periapical periodontitis.Combined treatments could get good results.