3种径路鼻内镜下治疗上颌窦囊肿150例疗效分析

目的：探讨3种径路鼻内镜下治疗上颌窦囊肿的疗效差异。方法：分析近年来收治的150例上颌窦囊肿病例的临床资料，依据囊肿不同位置及是否伴有其他病变，对其采取3种不同手术径路切除，即经上颌窦自然口径路切除58例，经下鼻道开窗径路切除39例，经上颌窦前壁径路切除53例，评价3种径路的治疗效果。结果：150例患者，经过6～12个月的随访，术后鼻腔通气良好，面部胀痛、头痛、头昏等临床症状消失，经鼻内镜及鼻窦CT检查，无脓性分泌物，无囊肿复发。结论：根据上颌窦囊肿位置类型及伴有的疾病不同，鼻内镜下选择不同径路手术，上颌窦囊肿的术后康复效果更理想。

Clinical analysis of endoscopic treatment of 150 cases of maxillary sinus cyst by antrostomy through three approaches.

Objective：To explore the endoscopic antrostomy treatment outcomes of 150 maxillary sinus cyst through three approaches. Method：Retrospective study is applied by analyzing the clinical data of 150 cases with maxillary sinus cyst who were admitted to our department. Three surgical approaches were used to excise the lesions according to the loca- tion and accompany diseases. 58 cases were treatment through normal orifice,53 Cases were through inferior nasal meatus ap- proach and 53 cases were anterior wall of maxillary sinus. The outcomes were evaluated. Result：After 6 months to 1 year follow-up, ventilation of all the 150 cases with maxillary sinus cyst were well with gas pain,headache and dizziness disap- peared. The maxillary sinus is smooth without purulent secretion and recurrence under endoscopic examination and nasal CT. Conclusion：The postsurgical outcome of maxillary sinus cyst treatment was better by different approaches under nasal en- doscopy according to the location and accompany disease.