摘要
：探讨提高上颌窦疾病疗效的方法。方法：在动物实验的基础上，应用鼻内窥镜和显微外科技术，对６８树良性上颌窦病变，循柯－陆手术进路，行前壁环钻术和中鼻道窦造口术及骨壁修复成形术。结果；术后第５周，大窦腔粘膜再生和修复较完全，前壁骨瓣成形骨痴愈合。临床随访１８～４２个月（平均２８个月）中鼻道窦口通畅９６％。结论：表明上颌窦成形术在彻底清除病灶的基础上，恢复窦腔解剖结构，保持生理性引流通道，有利于术后粘膜修复与再生。
Objedive:To investigate the clinical effect of surgical procedures on patients with chronic maxil-lary sinus disease. Method: On the basis of experimental study with animal, this prospective study included 63patients with chronic maxillary sinus disease who had a maxillary sinus plasty following Caldwell--Luc. The operation procedures included anterior wall ring-drilling,and middle meatal antrostomy as well as sinus wall plasty. Result: Experimental results showed that the repair and regeneration of maxillary sinus mucosa was intact in dogsafter 5 weeks of radical operation. Clinical study indicated that the condition of anterior wall with a resuturedbone--lid was normalized radiographically during the follow up time of 1~3 months. The patency rate of the middle meateal antrostomy 18~ 42 months post--operatively (average 28 months)is 96% Conclusion:We concludefrom the study that the maxillary sinus plasty recovers anatomic construction, maintains physiological drainageway and provides a good environment for repair and regeneration of the sinus mucosa.
出处
《临床耳鼻咽喉科杂志》
CSCD
1999年第2期73-75,共3页
Journal of Clinical Otorhinolaryngology
关键词
上颌窦成形术
上颌窦炎
鼻息肉
外科手术
Maxillary sinus plasty
Caldwell-Luc approach
Maxillary sinusitis
Polyp
