经上颌窦前壁双管穿刺径路治疗上颌窦囊肿

目的：研究上颌窦囊肿的手术治疗方法，为临床治疗提供理论依据。方法对40例上颌窦囊肿患者行经上颌窦前壁双管穿刺径路鼻内镜手术治疗。结果术后均无牙列酸痛、面部麻木等不适，单纯上颌窦囊肿患者均术后3 d出院。随诊3个月至半年经鼻内镜及鼻窦CT检查，无脓性分泌物，未见囊肿复发。结论经上颌窦前壁双管穿刺径路治疗上颌窦囊肿具有手术方法简单、治愈率高、创伤小的优点，可减轻患者痛苦，值得临床推广应用。

Treatment of maxillary sinus cyst by maxillary anterior dual puncture

Objective To explore the clinical efficacy of minimally invasive surgical technique of endoscopic treatment of maxillary sinus cyst by maxillary anterior dual puncture.Methods 40 cases of maxillary simple sinus cyst were performed endoscopy by the maxillary anterior dual puncture.All were followed up by endoscopy and CT 3 months after surgery.Results All had an average hospital stay of 3 days.Followed up 3 to 6 months,no dentition pain,headache as well as cheek numbness and other complications occurred.The maxillary sinus was smooth without purulent secretion and recurrence under endoscopic examination and nasal CT.Conclusion Nasal endoscopic treatment of maxillary sinus cyst by maxillary anterior dual puncture has the characteristics of safe,easy operation,good effect,few adverse reaction and few complications.