首页|不同术式治疗上颌骨囊肿的疗效评价

不同术式治疗上颌骨囊肿的疗效评价

Evaluation of different surgical methods in the treatment of maxillary cysts

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目的 探讨不同手术方式治疗上颌骨囊肿的优缺点,为临床实践提供理论依据.方法 选择41 例上颌骨囊肿患者为研究对象,其中 17 例患者采用传统唇龈入路行上颌骨囊肿切除术,24 例患者采用经鼻内镜入路行上颌骨囊肿切除术.所有患者术后随访大于 12 个月,平均 18 个月,观察比较 2 组患者术后反应、视觉模拟疼痛评分、术后复发及术后肿胀麻木的发生情况.结果 两种不同术式的合理选择,其术后反应、视觉模拟疼痛评分量表、术后复发及术后肿胀麻木的发生情况均未见明显差异.结论 鼻内镜下开窗治疗上颌骨囊肿及唇龈入路治疗上颌骨囊肿均具有独特的优势,术前可依据影像学及鼻内镜检查,确定囊肿与上颌窦各壁的位置关系,从而选择更为合适的手术入路,使患者受益.
Objective To explore the advantages and disadvantages of different surgical methods in the treatment of maxillary cysts and to provide a theoretical basis for clinical practice.Methods Forty-one cases of maxillary cysts were selected as research objects.Of these,seventeen patients underwent maxillary cyst resection through a traditional labial gingival approach,and 24 pa-tients underwent maxillary cyst resection through a nasal endoscopic approach.All patients were followed up for>12 months,with an average of 18 months.Visual analog pain score and postoperative reaction,recurrence,and swelling and numbness were observed and compared between the two groups.Results No significant differences were observed in the postoperative reaction,recurrence,swelling and numbness,and visual analog pain scores between the two groups.Conclusion Endoscopic fenestration and labial gin-gival approaches in the treatment of maxillary cysts have unique advantages.Before the operation,the position relationship between the cyst and each wall of the maxillary sinus can be determined based on imaging and nasal endoscopy to select a more appropriate surgical approach that benefits patients.

Maxillary cystLabial gingival approachNasal endoscopyAnterior lacrimal recessInferior nasal meat

李红金、王剑、来育斌、许敏、薛涛、陈福权、查定军、陈晓栋

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空军军医大学附属西京医院 耳鼻咽喉头颈外科,陕西 西安 710032

上颌骨囊肿 唇龈入路 鼻内镜 泪前隐窝 下鼻道

陕西省临床医学研究中心项目

2021LCZX-15

2024

山东大学耳鼻喉眼学报
山东大学

山东大学耳鼻喉眼学报

CSTPCD
影响因子:0.671
ISSN:1673-3770
年,卷(期):2024.38(3)
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