下鼻道粘膜瓣开窗与上颌窦自然窦口治疗上颌窦黏膜囊肿的临床效果  

Comparison of Maxillary Ostium with Fenestration of Lower Nasal Mucosal Flap in Treating Maxillary Sinus Mucosa Cyst

作　　者：姚亮[1] 李继红[1] YAO Liang;LI Ji-hong(Dept. of Otorhinolaryngology,Wuxi People’s Hospital,Wuxi Jiangsu 214000,China)

机构地区：[1]无锡市人民医院耳鼻咽喉科,江苏无锡214000

出　　处：《昆明医科大学学报》2017年第7期115-117,共3页Journal of Kunming Medical University

基　　金：江苏省人力资源与社会保障厅科研基金资助项目(2014-WSN-015)

摘　　要：目的总结并对比下鼻道粘膜瓣开窗与经上颌窦自然窦口治疗上颌窦黏膜囊肿的临床价值.方法回顾性分析2014年7月~2016年7月间无锡市人民医院耳鼻咽喉科手术治疗的63例上颌窦黏膜囊肿患者的病历资料,分为下鼻道粘膜瓣开窗和经上颌窦自然窦口手术2组,对比2组患者的手术时间、术中出血量、术后住院天数、手术并发症和手术疗效.结果 2组手术时间、术中出血量、术后住院天数、手术并发症和手术疗效均无统计学差异(P>0.05).下鼻道粘膜瓣开窗组发生下鼻甲黏膜肿胀2例,经上颌窦口组发生病灶残留(二次手术)1例.结论鼻道粘膜瓣开窗较经上颌窦自然窦口手术适用范围更宽,在治疗上颌窦黏膜囊肿时,应合理选择手术路径.Objective To compare the clinical effects of maxillary ostium with fenestration of lower nasal mucosal flap in treating maxillary sinus mucosa cyst.Methods We retrospectively analyzed the medical records of63patients with maxillary sinus mucosal cysts from July2014to July2016.They were divided into two groups to be treated by fenestration of the lower nasal mucosa flap and the maxillary ostium.The operative time,intraoperative blood loss,postoperative in-hospital stay,surgical complications,and operative efficacy were compared between the two groups.T-test and Chi-square test were employed for data analysis.Results There was no significant difference in operation time,intraoperative blood loss,postoperative in-hospital stay,operative complications and surgical outcome(P>0.05).Swelling in the inferior turbinate mucosa occurred in2cases treated by fenestration of the lower nasal mucosa flap,and lesion occurred in1case treated with maxillary ostiumgroup(repeated surgery).Conclusion Fenestration of the lower nasal mucosa flap had wider range of application than maxillary ostium.The treatment of maxillary sinus mucosal cysts should choose a reasonable surgical path.

关 键 词：上颌窦黏膜囊肿 下鼻道开窗 上颌窦口 

分 类 号：R765.4[医药卫生—耳鼻咽喉科]