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目的 :探讨更为完善的上颌窦囊肿的治疗方法。方法 :对上颌窦囊肿采用三种不同的入路行囊肿摘除 :对伴上颌窦炎 /筛窦炎的上颌囊肿行钩突切除 ,开放前筛、经上颌窦窦口开窗行囊肿摘除 (4 2侧 ) ;对不伴不上颌窦炎 /筛窦炎的囊肿部分患者经下鼻道开窗囊肿摘除 (2 8侧 ) ,部分经尖牙窝经路行囊肿摘除 (2 2侧 )。结果 :术后随访半年 ,经上颌窦窦口开窗途径者 ,窗口开放率为 90 .4 8% (38/42 ) ;下鼻道开窗途径者 ,窗口开放率5 7.14 % (16 /2 8) ;经尖牙窝者窦口通畅率 90 .9% (2 0 /2 2 )。结论 :尽量减少手术创伤 ,手术操作细致 ,术后定期随访是防止上颌窦开窗口粘连、闭锁 ,提高开窗通畅率的重要因素
Objective: To explore a more complete treatment of maxillary sinus cysts. Methods: The maxillary sinus cysts were excised by three different approaches: the maxillary cysts with maxillary sinusitis / ethmoid sinus were excised by uncinate process, the anterior sieve was opened, and the cyst was removed through the maxillary sinus ostium 2 sides). Some cases of cysts not accompanied by maxillary sinusitis / ethmoid sinusitis were removed through the inferior nasal cavity (28 sides), and some were removed via apical cysts (22 sides). Results: After six months of follow-up, the opening of the maxillary sinus ostium was 90.48% (38/42) and the opening of the inferior nasal passages was 51.14% (16/2) 8). The maxillary patency rate was 90.9% (2 0/2 2). Conclusion: Minimizing the number of surgical trauma, careful surgical operation and regular postoperative follow-up are important factors in preventing the maxillary sinus from blocking and locking the window and improving the patency of fenestration