经上颌窦前外侧壁穿刺冲洗治疗上颌窦提升术后并发上颌窦炎病例5例  

Five cases of maxillary sinusitis after maxillary sinus lifting were treated by maxillary sinus anterior lateral wall puncture and irrigation

作　　者：周贝贝 胡琳驰 王仁飞 ZHOU Beibei;HU Linchi;WANG Renfei(Graduate Class,Grade 2017,School of Stomatology,Zhejiang Chinese Medicine University,Hangzhou 3100532,China)

机构地区：[1]浙江中医药大学口腔医学院,浙江杭州310051 [2]杭州口腔医院VIP,浙江杭州310002

出　　处：《口腔医学》2019年第11期1032-1037,共6页Stomatology

摘　　要：目的评价经上颌窦前外侧壁穿刺冲洗治疗上颌窦提升术后并发上颌窦炎的治疗方法及其效果。方法在2012-2018年期间,我科142例患者接受了上颌窦提升术,其中5例患者于术后一周左右出现上颌窦炎症。对这5例患者进行经上颌窦前外侧壁穿刺冲洗治疗。结果5例经上颌窦前外侧壁穿刺冲洗治疗的患者均获得了良好效果,术后上颌窦炎症状消失,复查CBCT见上颌窦窦腔内积液消失;上颌窦提升处成骨效果良好,植体获得良好的骨结合,常规修复后1~6年随诊效果稳定。结论经上颌窦前外侧壁穿刺冲洗治疗对上颌窦提升术后并发上颌窦炎的治疗有良好的效果。Objective To evaluate the treatment method and effect of maxillary sinusitis after maxillary sinus elevation by maxillary sinus anterior lateral wall puncture and irrigation.Methods One hundred and forty-two patients received maxillary sinus elevation in our hospital from 2012 to 2018,among whom 5 patients developed maxillary sinus inflammation about one week after surgery and were treated by maxillary sinus anterior lateral wall puncture and irrigation.Results All of the 5 patients treated by maxillary sinus anterior lateral wall puncture and irrigation got good effects.The symptoms of maxillary sinusitis disappeared after operation and the effusion of maxillary sinus cavity disappeared after CBCT examination.The osteogenesis effect in the maxillary sinus elevation was good and the implant was stable.The follow-up effect was stable after 1 to 6 years of routine restoration.Conclusion The treatment of maxillary sinusitis after sinus elevation by the anterior lateral wall puncture and irrigation of maxillary sinus has good effects.

关 键 词：上颌窦提升术 并发症 上颌窦炎 穿刺冲洗 

分 类 号：R782.3[医药卫生—口腔医学]