内镜经泪前隐窝入路治疗上颌窦前内下壁病变

doi:10.13418/j.issn.1001-165x.2020.06.017

中国临床解剖学杂志 ›› 2020, Vol. 38 ›› Issue (6) : 715-718. DOI: 10.13418/j.issn.1001-165x.2020.06.017

临床研究

内镜经泪前隐窝入路治疗上颌窦前内下壁病变

伍小琴¹，　康渊春²，　邹柳凤²，　刘海斌³，　杨子轩³，　彭浒³
纪振华³，　程寅³，　张国民¹，　陈进璜²，谢铠鹏¹

作者信息 +

Endoscopic treatment the diseases of anterior medial and inferior wall of maxillary sinus by prelacimal recess approach

WU Xiao-qin¹ , KANG Yuan-chun², ZHOU Liu-feng², LIU Hai-bin³, YANG Zi-xuan³, PENG Hu³, JI Zhen-hua³, CHENG Yin³, ZHANG Guo-min¹, CHEN Jin-huang², XIE Kai-peng¹

Author information +

文章历史 +

摘要

目的　探讨鼻内镜下经泪前隐窝径路治疗上颌窦病变的临床效果。方法　回顾性分析了2008年1月~2018年1月三家医院耳鼻咽喉头颈外科收治的采用内镜辅助下经泪前隐窝入路治疗的各种上颌窦病变患者67例的临床资料。结果　上颌窦内下壁囊肿20例，上颌窦内下壁息肉6例，内翻性乳头状瘤2例，真菌球性鼻-鼻窦炎23例，变态反应性真菌性鼻-鼻窦炎13例，慢性侵袭性真菌性鼻-鼻窦炎1例。所有患者术后定期随访半年以上未见复发。结论　鼻内镜下泪前隐窝入路能够充分显露上颌窦腔，彻底切除上颌窦内的病变，手术操作方便，能够有效治疗上颌窦各种良性病变，如有明显的泪前隐窝及齿槽隐窝存在，可作为上颌窦前内下壁病变的首选手术入路。

Abstract

Objective　To investigate the clinical effect of the treatment on the diseases of anterior medial and inferior wall of maxillary sinus by endoscopic prelacimal recess approach.　Methods　The clinical data of 67 patients with various maxillary sinus lesions treated by crypt in the treatment of various maxillary sinus lesions were analyzed retrospectively in the three hospitals from January 2008 to January 2018.　Results　Twenty cases of lower wall cysts in the upper jaw sinus, 6 cases of lower wall polyps in the upper jaw sinus, 2 cases of internal epithelial papilloma, 23 cases of fungal globular sinusitis, 13 cases of allergic reactive fungal sinusitis, 1 case of chronic aggressive fungal sinusitis. All patients were followed-up regularly after surgery for more than half a year without relapse.　Conclusions　The prelacrimal recess approach under nasal endoscope can fully expose the maxillary sinus cavity and completely remove the lesions in the maxillary sinus. The operation is convenient and can effectively treat various benign lesions of the maxillary sinus, such as obvious prelacrimal recess and alveolar recess, it can be used as the first choice of surgical approach for maxillary sinus anterior medial inferior wall lesions.

导出引用

伍小琴, 康渊春, 邹柳凤, 刘海斌, 杨子轩, 彭浒, 纪振华, 程寅, 张国民, 陈进璜, 谢铠鹏. 内镜经泪前隐窝入路治疗上颌窦前内下壁病变[J]. 中国临床解剖学杂志. 2020, 38(6): 715-718 https://doi.org/10.13418/j.issn.1001-165x.2020.06.017

WU Xiao-qin , KANG Yuan-chun, ZHOU Liu-feng, LIU Hai-bin, YANG Zi-xuan, PENG Hu, JI Zhen-hua, CHENG Yin, ZHANG Guo-min, CHEN Jin-huang, XIE Kai-peng. Endoscopic treatment the diseases of anterior medial and inferior wall of maxillary sinus by prelacimal recess approach[J]. Chinese Journal of Clinical Anatomy. 2020, 38(6): 715-718 https://doi.org/10.13418/j.issn.1001-165x.2020.06.017

中图分类号： R765.4 R323.1

参考文献

[1] 袁伟，张学渊. 异常中鼻甲矫治在鼻内镜手术中的临床意义[J]. 临床耳鼻咽喉头颈外科杂志，2008，8(7)：364．
[2] Krouse JH. Development of a staging system for inverted papilloma [J]. Laryngoscope，2000，110(6)：965-968．
[3] 宋西成，孙岩，张华，等．鼻内镜下鼻泪管前径路和后径路切除上颌窦良性病变[J]. 中华耳鼻咽喉-头颈外科杂志，2011，46(10)：818，824.
[4] Muneif AS，左可军，史剑波．难治性慢性鼻窦炎的相关因素探讨[J].中华耳鼻咽喉头颈外科杂志，2010，45(12)：1003-1007．
[5] Lin YT, Lin CF, Yeh TH. Application of the endoscopic prelacrimal recess approach to the maxillary sinus in unilateral maxillary diseases[J]. Int Forum Allergy Rhinol, 2018, 8(4): 530-536.
[6] 王小飞. 鼻内镜手术治疗慢性鼻窦炎鼻息肉的疗效观察[J]. 中国医师进修杂志(综合版). 2011，34(15)：43．
[7] 刘春华. 内窥镜鼻窦手术与传统术式治疗慢性鼻窦炎鼻息肉疗效比较[J]．现代医药卫生，2009，25(6)：856-857．
[8] 中华医学会耳鼻喉科学分会，中华耳鼻喉科杂志编辑委员会. 慢性鼻窦炎鼻息肉临床分型分期及内窥镜手术疗效评定标准(1997年，海口)[J]. 中华耳鼻喉科杂志，1998，33(3)：134．
[9] Grace C, Gaurav M, Claire T, et al. Adjunctive techniques to improve access of the endoscopic prelacrimal recess approach[J]. Laryngoscope, 2020, 130(8): 1857-1863.