摘要
目的应用内窥镜技术辅助Caldwell-Luc手术(上颌窦根治术)治疗上颌窦病变并观察其疗效。方法对35例上颌窦病变患者在内窥镜下行病侧钩突切除,扩大上颌窦自然开口,同时按Caldwell-Luc术式行尖牙窝处开窗,双进路清除病变,根据病情行下鼻道开窗。结果35例患者随诊1年,无并发症,治愈率达到100%。结论内镜辅助下的Caldwell-Luc手术治疗上颌窦病变手术创伤小、照明好,不损害鼻腔的正常生理功能,保证鼻窦的通气引流,复发率低,疗效稳定。
Objective To apply endoscopic technique assisted Caldwell-Luc operation and to observe the clinical efficiency. Methods 35 patients with chronic maxillary sinus disease were treated with endoscopic technique assisted Caldwell-Luc operation. The operation procedures included anterior wall and middle meatal antrostomy.Results There was no complication after one year following up.The cure was 100% and the recurence rate was 0.Conclusion The method has many advantages, such as mild damage to normal tissues,clear operation visual field,recovers anatomic construction,maintains physiological drainage way and stable theraputical effect.
出处
《宁夏医学杂志》
CAS
2005年第7期446-447,共2页
Ningxia Medical Journal
关键词
上颌窦根治术
内窥镜
上领窦
Caldwell-Luc operation
Endoscopic
Maxillary sinus
