鼻内镜中鼻道联合下鼻道上颌窦开窗术径路治疗上颌窦良性病变的回顾性分析  

Retrospective analysis of endoscopic sinus surgery through the approach MMA combined with IMA in treatment of benign maxillary lesions

作　　者：楚士东[1] 慈军[1] 王海英[1] 王昌阳[1] 周怀恩[1] 宝庆付[1] 邹建军[1] Shi-dong Chu;Jun Ci;Hai-ying Wang;Chang-yang Wang;Huai-en Zhou;Qing-fu Bao;Jian-jun Zou(Department of Otorhinolaryngology Head and Neck Surgery,Zhejiang Provincial Hospital of Integrated Chinese and Western Medicine,Hangzhou,Zhejiang 310000,China)

机构地区：[1]浙江省中西医结合医院耳鼻咽喉头颈外科

出　　处：《中国内镜杂志》2019年第12期84-87,共4页China Journal of Endoscopy

摘　　要：目的探讨应用鼻内镜中鼻道上颌窦开窗术(MMA)联合下鼻道上颌窦开窗术(IMA)径路治疗上颌窦良性病变的可行性和临床效果。方法回顾性分析2008年6月-2015年8月治疗的51例上颌窦良性病变临床资料。在常规行鼻内镜下MMA术后,对于难以完整切除的病变联合IMA术切除病变。记录术中情况及术后疗效。结果术中内镜下能很好地观察和切除上颌窦内各壁病变。术中及术后无鼻泪管损伤、鼻甲萎缩和局部感染等并发症。术后随访6个月以上,临床症状逐步消失,窦内黏膜上皮化,窦口引流通畅,病变无复发。结论MMA联合IMA可以很好地治疗上颌窦良性病变,尤其在上颌骨囊肿治疗中有很大应用空间。Objective To explore the feasibility and clinical efficacy of endoscopic sinus surgery through the approach combined with inferior nasal meatus in treatment of benign lesions of maxillary sinus.Methods Clinical data of 51 cases with benign lesions of maxillary sinus from June 2008 to August 2015 were analyzed retrospectively.We combined IMA to resect residual lesion after MMA,meanwile,we recorded the clinical efficacy on operation and after operation.Result Combined with IMA,endoscopic surgery can observe and resect benign lesions of every wall of maxillary sinus well.No complication occurred,such as nasolacrimal duct injury,turbinate atrophy,and infection.After 6 months following-up,all the patients symptoms disappeared gradually,with satisfactory epithelization in maxillary sinus cavities,and with smooth drainage.There is no reccurence of the lesions.Conclusion MMA combined with IMA can treat benign lesions of maxillary sinus well,and it can play a main role in treatment of maxilla cyst.

关 键 词：鼻内镜手术 上颌窦 中鼻道上颌窦开窗术 下鼻道上颌窦开窗术 上颌骨囊肿 

分 类 号：R765[医药卫生—耳鼻咽喉科]