球囊扩张术联合电子喉镜治疗上颌窦囊肿26例  

The effect of balloon dilation technology combined with electronic laryngoscope in the treatment of maxillary sinus cyst in 26 cases

作　　者：孟中华[1] 刘永刚[1] 彭檀[1] 程耀兰[1] 

机构地区：[1]安徽省淮北市人民医院耳鼻咽喉头颈外科,235000

出　　处：《蚌埠医学院学报》2016年第7期857-860,共4页Journal of Bengbu Medical College

基　　金：淮北市科技计划人才基金资助项目(20120313)

摘　　要：目的：探讨经上颌窦窦口球囊扩张术联合电子喉镜治疗上颌窦囊肿的疗效。方法：对26例确诊为上颌窦囊肿的住院患者,经鼻内镜行上颌窦自然口球囊扩张后,应用电子喉镜经扩大的上颌窦自然口插入上颌窦,应用活检钳摘除上颌窦囊肿;术后随访6-12个月,评价临床疗效。结果：26例上颌窦囊肿均被成功摘除,术后未出现鼻腔出血、鼻腔粘连、鼻泪管损伤等并发症,1例患者术后囊肿复发,再次经上颌窦自然口插入电子喉镜摘除后痊愈。结论：球囊扩张术联合电子喉镜治疗上颌窦囊肿,手术保留了上颌窦完整解剖生理结构,操作简单,创伤小,患者手术痛苦少,术后恢复快,并发症少,是治疗上颌窦囊肿的理想手术方式。Objective： To explore the clinical effects of the balloon dilation technology combined with electronic laryngoscope in the treatment of maxillary sinus cyst. Methods： Twenty-six patients with maxillary sinus cyst were treated with electronic laryngoscope inserting into the maxillary sinus through the expanded maxillary sinus ostium after maxillary sinus ostium balloon dilation under nasal endoscopy,and the maxillary sinus cyst was resected using biopsy forceps. The patients were followed up for 6 to 12 months,and clinical efficacy was evaluated. Results： The maxillary sinus cyst in 26 patients were successfully resected. No postoperative nasal bleeding,nasal adhesion and nasolacrimal duct injury were found. The postoperative recurrence of maxillary sinus cyst in 1 case was identified,who was cured using electronic laryngoscope inserting into the maxillary sinus resecting again. Conclusions： Balloon dilation technology combined with electronic laryngoscope in the treatment of maxillary sinus cyst can retain the complete anatomy structure,which is simple operation,small trauma,less pain,rapid recovery,fewer complication and an ideal operation method in the treatment of maxillary sinus cyst.

关 键 词：上颌窦囊肿 鼻内镜 球囊扩张术 电子喉镜 

分 类 号：R322.31[医药卫生—人体解剖和组织胚胎学]