经前庭沟径路引流在上颌窦根治术中的应用效果  

Clinical Effect to Fill Bone Cavity with Gauze through Sulcus Vestibularis after Radical Maxillary Sinusotomy

作　　者：明华伟 何芸 付光新 甘升远 夏德林 

机构地区：[1]南充市中心医院口腔颌面外科,四川南充637000 [2]西南医科大学附属口腔医院口腔颌面外科

出　　处：《西南军医》2017年第1期7-9,共3页Journal of Military Surgeon in Southwest China

基　　金：四川省教育厅重点项目(NO:12ZA244)

摘　　要：目的探讨上颌骨囊肿穿通上颌窦的患者行上颌窦根治术后两种不同填取纱条途径的临床应用效果。方法选取83例行上颌窦根治术的上颌骨囊肿患者,随机分为对照组(n=41)和观察组(n=42),术后分别采用传统方法经下鼻道开窗与经口内上颌前庭沟开窗径路填取碘仿纱条,对两组患者术后疼痛、出血及并发症等情况进行统计分析。结果采用前庭沟开窗引流的患者,术后疼痛、肿胀程度明显低于经下鼻道开窗的患者,抽取纱条时的疼痛及出血也明显较轻(P<0.05);术后并发口腔上颌窦瘘情况,两组患者差异无统计学意义(P>0.05)。结论与传统开窗方法相比,上颌窦根治术后采用口内上颌前庭沟径路填取纱条,在减轻患者疼痛、肿胀及出血等方面具有良好的效果,是上颌窦根治术后理想的填取纱条途径。Objective To discuss the clinical application effects of 2 different ways to fill bone cavity with gauze after radical maxil- lary sinusotomy when maxillary cyst break-over maxillary sinus. Methods Radical maxillary sinusotomy had been performed on 83 pa- tients with maxillary cysts since 2012, and the traditional way to fill bone cavity with gauze through inferrior nasal meatus （group A） and the way to fill bone caivity with gauze through sulcus vestibularis （group B） were randomly applied to patients; statistical studies were made to postoperation clinical data. Results The postoperation pain and swelling of the patients in group B were much less than those of the patients in gorup A and the pain and bleeding when taking out the gauze were less as well （P〉0.05）; there existed no statisti- cal difference in the occurrence of complicated oroantral fistula after operation （P〉0.05）. Conclusions To fill bone cavity with gauze through sulcus vestibularis after radical maxillary sinusotomy is of good effect in reducing the pain, swelling and bleeding.

关 键 词：上颌窦根治 上颌骨囊肿 疼痛 出血 

分 类 号：R765.9[医药卫生—耳鼻咽喉科]