牙源性与非牙源性上颌窦炎鉴别诊断及其治疗方案的研究进展  

Diagnosis and treatment of odontogenic and non-odontogenic maxillary sinusitis

作　　者：戢晓 张岚[1] 黄定明[1] Ji Xiao;Zhang Lan;Huang Dingming(State Key Laboratory of Oral Diseases&National Center for Stomatology&National Clinical Research Center for Oral Diseases&Dept.of Cariology and Endodontics,West China Hospital of Stomatology,Sichuan University,Chengdu 610041,China)

机构地区：[1]口腔疾病防治全国重点实验室、国家口腔医学中心、国家口腔疾病临床医学研究中心、四川大学华西口腔医院牙体牙髓病科,成都610041

出　　处：《国际口腔医学杂志》2023年第5期566-572,共7页International Journal of Stomatology

基　　金：四川省科技厅重点研发项目(2021YFS0031)。

摘　　要：牙源性鼻窦炎是慢性鼻窦炎的一种,主要发生在与上颌后牙牙根解剖关系密切的上颌窦。然而,由于其相对不特异的临床表现与尚不完善的相关研究,牙源性上颌窦炎的诊断存在较大难度。目前多数研究认为,牙源性上颌窦炎的治疗以手术为主,抗菌药物为辅,然而如何选择口腔手术与鼻窦手术,以及两者的顺序仍存在争议。本文从组织病理学、微生物学、临床表现、影像学表现与治疗方案5个方面就牙源性和非牙源性上颌窦炎的诊治差异作一综述,旨在为临床医生提供更好的诊治方案,并为牙源性上颌窦炎的相关研究提供基础。Odontogenic factor is an important part of the pathogenesis of chronic sinusitis.Odontogenic sinusitis mainly involves the maxillary sinus,which is anatomically closely related to the maxillary posterior teeth roots.However,the diagnosis of odontogenic maxillary sinusitis is difficult due to its nonspecific clinical presentation and imperfect studies.Most current research suggests that the primary treatment of odontogenic maxillary sinusitis is surgery,with antimicrobial drugs as adjunctive therapy.However,the choice and order of oral surgery versus sinus surgery remains controversial.This article reviewed the diagnosis and treatment of odontogenic and non-odontogenic maxillary sinusitis from histopathology,microbiology,clinical manifestations,imaging manifestations and treatment options,aiming to provide clinicians with better diagnosis and treatment options and to provide a basis for research of odontogenic maxillary sinusitis.

关 键 词：牙源性上颌窦炎 慢性鼻窦炎 诊断 治疗 

分 类 号：R78[医药卫生—口腔医学]