鼻内镜下上颌窦良性病变的手术治疗

目的:探讨鼻内镜下上颌窦良性病变的手术切除方法.方法:41例上颌窦息肉、囊肿、曲菌病、内翻性乳头状瘤等良性病变,分别采用3种不同的手术方式清除病灶,其中30例经扩大的上颌窭自然开121径路;4例经鼻内中、下鼻道双径路;7例经扩大的上颌窦自然开口及鼻腔外侧壁切除双径路.结果:术后随访6个月以上,治愈39例,2例复发,治愈率95.1%.结论:鼻内镜下经鼻腔采用3种不同的手术径路切除上颌窦良性病变,疗效肯定,创伤小,值得临床推广.

Surgical treatment for maxillary sinus benign diseases under nasal endoscopy

Objective:To investigate the surgical methods to treat maxillary sinus benign diseases with nasal endoscopy.Method:Forty-one cases with maxillary sinus benign diseases inducling maxillary sinus polyps,cysts,mycosis,inverted papilloma were operated on using nasal endoscopy in three approaches,such as single pathway of extended ostium of maxillary sinus,two pathway of middle and inferior meatus,two pathway of extended ostium of maxillary sinus and lateral wall of nasal cavity.Result:All patients were followed up for a period of more than 6 months,39 cases were cured(95.1%),2 cases relapsed.Conclusion:Maxillary sinus benign diseases can be excised by three kinds of approaches under nasal endoscopy surgery,and they are minimal invasive effective and worthy of clinical expansion.