内镜经泪前隐窝入路治疗上颌窦前内下壁病变  

Endoscopic treatment the diseases of anterior medial and inferior wall of maxillary sinus by prelacimal recess approach

作　　者：伍小琴 康渊春 邹柳凤 刘海斌 杨子轩 彭浒 纪振华 程寅 张国民 陈进璜 谢铠鹏 WU Xiao-qin;KANG Yuan-chun;ZHOU Liu-feng;LIU Hai-bin;YANG Zi-xuan;PENG Hu;JI Zhen-hua;CHENG Yin;ZHANG Guo-min;CHEN Jin-huang;XIE Kai-peng(Department of Otolaryngology Head and Neck Surgery,PLA Support Force No.909 Hospital,Zhangzhou 363000,China;Department of Otolaryngology Head and Neck Surgery,Longhai First Hospital,Zhangzhou 363100,China;Department of Otolaryngology Head and Neck Surgery,the Affiliated to the Naval Military Medical University,Shanghai 200003,China)

机构地区：[1]解放军联勤保障部队第909医院耳鼻咽喉头颈外科,福建漳州363000 [2]龙海市第一医院耳鼻咽喉头颈外科,福建漳州363100 [3]海军军医大学附属长征医院耳鼻咽喉头颈外科,上海200003

出　　处：《中国临床解剖学杂志》2020年第6期715-718,共4页Chinese Journal of Clinical Anatomy

基　　金：国家自然基金项目(81770980);上海市卫计委科研项目(201640182)。

摘　　要：目的探讨鼻内镜下经泪前隐窝径路治疗上颌窦病变的临床效果。方法回顾性分析了2008年1月~2018年1月三家医院耳鼻咽喉头颈外科收治的采用内镜辅助下经泪前隐窝入路治疗的各种上颌窦病变患者67例的临床资料。结果上颌窦内下壁囊肿20例,上颌窦内下壁息肉6例,内翻性乳头状瘤2例,真菌球性鼻-鼻窦炎23例,变态反应性真菌性鼻-鼻窦炎13例,慢性侵袭性真菌性鼻-鼻窦炎1例。所有患者术后定期随访半年以上未见复发。结论鼻内镜下泪前隐窝入路能够充分显露上颌窦腔,彻底切除上颌窦内的病变,手术操作方便,能够有效治疗上颌窦各种良性病变,如有明显的泪前隐窝及齿槽隐窝存在,可作为上颌窦前内下壁病变的首选手术入路。Objective To investigate the clinical effect of the treatment on the diseases of anterior medial and inferior wall of maxillary sinus by endoscopic prelacimal recess approach. Methods The clinical data of 67 patients with various maxillary sinus lesions treated by crypt in the treatment of various maxillary sinus lesions were analyzed retrospectively in the three hospitals from January 2008 to January2018. Results Twenty cases of lower wall cysts in the upper jaw sinus, 6 cases of lower wall polyps in the upper jaw sinus, 2 cases of internal epithelial papilloma, 23 cases of fungal globular sinusitis, 13 cases of allergic reactive fungal sinusitis, 1 case of chronic aggressive fungal sinusitis. All patients were followed-up regularly after surgery for more than half a year without relapse. Conclusions The prelacrimal recess approach under nasal endoscope can fully expose the maxillary sinus cavity and completely remove the lesions in the maxillary sinus. The operation is convenient and can effectively treat various benign lesions of the maxillary sinus, such as obvious prelacrimal recess and alveolar recess, it can be used as the first choice of surgical approach for maxillary sinus anterior medial inferior wall lesions.

关 键 词：鼻内镜 泪前隐窝入路 上颌窦病变 

分 类 号：R765.4[医药卫生—耳鼻咽喉科] R323.1[医药卫生—临床医学]