内镜技术在上颌窦异物取出术中的应用进展  

Application of endoscopic technique to remove the foreign bodies in the maxillary sinus

作　　者：石海涛 黄金霞 潘剑[1] Shi Haitao;Huang Jinxia;Pan Jian(State Key Laboratory of Oral Diseases&National Clinical Research Center for Oral Diseases&Dept.of Oral and Maxillofacial Surgery,West China Hospital of Stomatology,Sichuan University,Chengdu 610041,China)

机构地区：[1]口腔疾病研究国家重点实验室,国家口腔疾病临床医学研究中心,四川大学华西口腔医院颌面外科门诊,成都610041

出　　处：《国际口腔医学杂志》2020年第4期452-457,共6页International Journal of Stomatology

基　　金：四川省人力资源和社会保障厅学术技术带头人培养基金(2017-A);四川省干部保健科研课题(川干研2019-901)。

摘　　要：传统的上颌窦异物取出术是通过牙槽窝或尖牙窝开窗的途径进行操作,存在操作盲目,创伤较大,术后易出现并发症等缺点。内镜技术属于微创手术,照明好、角度多、入路简捷,同时利用监视系统的放大作用,上颌窦内的情况清晰可见,操作者可以通过内镜在直视下进行操作,具有手术创伤小、恢复快、并发症少等多种优点。本文就上颌窦内异物的类型及并发症,应用内镜技术取上颌窦异物的优缺点和手术入路,以及术中使用的填塞止血材料,术后实施的护理干预措施等方面进行综述,以便为临床医生提供参考。The traditional methods to remove the foreign bodies in the maxillary sinus directly through the alveolar socket or canine fossa bone window have the disadvantages of operation blindness,large amounts of damage,and possible postoperative complications.The endoscopic technique is a minimally invasive procedure.The excellent illumination and the magnification of the monitoring system make the surgery field clearly visible and has the advantages of small surgical trauma,quick recovery,and less complications.Here,we review the types and complications,the advantages and disadvantages,the surgical approach of the endoscopic technique for removing foreign bodies in the maxillary sinus,the use of stuffing hemostasis materials,and postoperative care.

关 键 词：上颌窦异物 内镜技术 手术入路 微创 

分 类 号：R782.1[医药卫生—口腔医学]