不同术式治疗上颌骨囊肿的疗效评价

doi:10.6040/j.issn.1673-3770.0.2023.053

摘要/Abstract

摘要： 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。

关键词: 上颌骨囊肿, 唇龈入路, 鼻内镜, 泪前隐窝, 下鼻道

Abstract: 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 patients 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 gingival 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.

Key words: Maxillary cyst, Labial gingival approach, Nasal endoscopy, Anterior lacrimal recess, Inferior nasal meat

中图分类号:

R574

李红金,王剑,来育斌,许敏,薛涛,陈福权,查定军,陈晓栋. 不同术式治疗上颌骨囊肿的疗效评价[J]. 山东大学耳鼻喉眼学报, 2024, 38(3): 33-37.

LI Hongjin, WANG Jian, LAI Yubin, XU Min, XUE Tao, CHEN Fuquan, ZHA Dingjun, CHEN Xiaodong. Evaluation of different surgical methods in the treatment of maxillary cysts[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2024, 38(3): 33-37.

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