CAJ | 학술논문

目的：探讨鼻窥镜下三种手术方式治疗上颌窦囊肿的临床疗效。方法选择上颌窦囊肿患者95例，分别采用上颌窦窦口开放扩大术、下鼻道上颌窦开窗术以及上颌窦前壁开窗术三种手术方式进行治疗，术后随访1年，分析三种手术方式的临床疗效。结果经上颌窦窦口开放扩大术39例，痊愈37例，2例复发；经下鼻道上颌窦开窗术27例，痊愈26例，1例复发；经上颌窦前壁开窗术29例，29例痊愈；三种手术方式治愈率差异无统计学意义（P ＞0．05）。结论治疗上颌窦囊肿术式的选择应根据囊肿的部位、大小以及是否伴有鼻-鼻窦疾病等多种因素确定。囊肿靠近窦口周围、窦腔外侧壁或伴有鼻窦疾病的上颌窦囊肿可采用上颌窦窦口开放扩大径路进行手术；靠近窦腔内侧壁、底壁的可采用下鼻道开窗径路；靠近窦腔前壁以及囊肿巨大或复发者可选择上颌窦前壁开窗手术径路；目的是达到彻底摘除囊肿，减轻组织损伤和并发症的发生。
목적：탐토비규경하삼충수술방식치료상합두낭종적림상료효。방법선택상합두낭종환자95례，분별채용상합두두구개방확대술、하비도상합두개창술이급상합두전벽개창술삼충수술방식진행치료，술후수방1년，분석삼충수술방식적림상료효。결과경상합두두구개방확대술39례，전유37례，2례복발；경하비도상합두개창술27례，전유26례，1례복발；경상합두전벽개창술29례，29례전유；삼충수술방식치유솔차이무통계학의의（P ＞0．05）。결론치료상합두낭종술식적선택응근거낭종적부위、대소이급시부반유비-비두질병등다충인소학정。낭종고근두구주위、두강외측벽혹반유비두질병적상합두낭종가채용상합두두구개방확대경로진행수술；고근두강내측벽、저벽적가채용하비도개창경로；고근두강전벽이급낭종거대혹복발자가선택상합두전벽개창수술경로；목적시체도철저적제낭종，감경조직손상화병발증적발생。
Objective To explore three under nasal endoscope surgery treatment the clinical curative effect of maxillary sinus cyst.Methods 95 cases of maxillary sinus cyst patients were chosen,the maxillary sinus were used respectively to open to expand,the nasal passages of maxillary sinus fenestration and maxillary sinus anterior wall fen-estration three types of surgical treatment,postoperative follow -up of 1 year,the clinical curative effect of three kinds of operation method were analyzed.Results The maxillary sinus mouth open expansion of 39 cases during operation,37 cases were cured,2 cases of recurrence;The nasal passages under the maxillary sinus fenestration 27 cases, 26 cases cured,1 case of recurrence;The maxillary sinus anterior wall fenestration 29 cases,29 cases healed;Three kinds of operation cure rate difference had no statistical significance(P >0.05).Conclusion The treatment of max-illary sinus cyst operation should be selected according to the location and size of cysts and whether the various associ-ated withnasal sinuses diseases and other factors determine the.Maxillary sinus cyst neararound the maxillary sinus, sinus cavity lateral wall or with sinus disease can use theostium of maxillary sinus extending open surgery path;near the sinus cavity innerwall and the bottom wall can use windowing of the inferior nasal meatus approach;near the front wall of sinus cavity and large cysts or recurrence can be choice ofmaxillary sinus by fenestration operation path;the purpose is to remove the cystoccurs completely,reduce tissue injury and complications.