经上颌窦前外侧壁穿刺冲洗治疗上颌窦提升术后并发上颌窦炎病例5例

目的　评价经上颌窦前外侧壁穿刺冲洗治疗上颌窦提升术后并发上颌窦炎的治疗方法及其效果。方法：在2012—2018年期间，我科142名患者接受了上颌窦提升术，其中5位患者于术后一周左右出现上颌窦炎症。对这5位患者进行经上颌窦前外侧壁穿刺冲洗治疗。结果：5例经上颌窦前外侧壁穿刺冲洗治疗的患者均获得了良好效果，术后上颌窦炎症状消失，复查CBCT见上颌窦窦腔内积液消失；上颌窦提升处成骨效果良好，植体获得良好的骨结合，常规修复后1~6年随诊效果稳定。结论：经上颌窦前外侧壁穿刺冲洗治疗对上颌窦提升术后并发上颌窦炎的治疗有良好的效果。

Five cases of maxillary sinusitis after maxillary sinus lifting were treated by maxillary sinus anterior lateral wall puncture and irrigation

Objective　 To evaluate the treatment method and effect of maxillary sinusitis after maxillary sinus elevation by maxillary sinus anterior lateral wall puncture and irrigation. Methods 142 patients received maxillary sinus elevation in our hospital from 2012 to 2018, among whom 5 patients developed maxillary sinus inflammation about one week after surgery and were treated by maxillary sinus anterior lateral wall puncture and irrigation. Results All of the 5 patients treated by maxillary sinus anterior lateral wall puncture and irrigation got good effects. The symptoms of maxillary sinusitis disappeared after operation and the effusion of maxillary sinus cavity disappeared after CBCT examination. The osteogenesis effect in the maxillary sinus elevation was good and the implant was stable. The follow-up effect was stable after 1 to 6 years of routine restoration. Conclusion The treatment of maxillary sinusitis after sinus elevation by the anterior lateral wall puncture and irrigation of maxillary sinus has good effects.