鼻内镜下中鼻道联合下鼻道扩大泪前隐窝入路切除上颌窦良性病变

陈莹华; 张红春; 葛平江; 韦廷佳; 罗小钢; 黄佩娟

doi:10.13201/j.issn.1001-1781.2012.23.008

鼻内镜下中鼻道联合下鼻道扩大泪前隐窝入路切除上颌窦良性病变

- 1 广西南宁市红十字会医院耳鼻咽喉科(南宁, 530012);
- 2 广东省人民医院耳鼻咽喉头颈外科

详细信息

通讯作者: 陈莹华,E-mail:entchenyinghua@163.com

中图分类号: R765.25

收稿日期: 2012-02-29

Combined middle meatus and expand prelacrimal recess-maxillary ainus approach for endoscopic maxillary sinus surgery

- 1 Department of Otolaryngology, Guangxi Nanning Red Cross Hospital, Nanning, 530012, China;
- 2 Department of Otolaryngology Head and Neck Surgery, Guangdong Provincial People's Hospital

More Information

Corresponding author: CHEN Yinghua, E-mail: entchenyinghua@163.com

Received Date: 29 February 2012

摘要

摘要: 目的:探讨鼻内镜下联合入路上颌窦良性病变的手术方法和临床价值。方法:回顾性分析经鼻内镜下中鼻道联合下鼻道泪前隐窝入路手术治疗27例单侧上颌窦良性病变患者临床资料,观察临床效果。结果:所有患者术中或术后均经病理证实为良性病变,排除恶性肿瘤。随访12~24个月,所有患者术腔上皮化,下鼻甲形态良好,均无溢泪发生。仅1例乳头状瘤术后2个月复发,局部处理后随访至今未见复发。结论:经鼻内镜下鼻道扩大泪前隐窝入路治疗上颌窦良性病变创伤小,手术视野广阔清晰,能够准确完整地清除病变,术腔符合鼻腔的生理结构和功能需要,具有很高的临床实用价值。
- 鼻内镜手术 /
- 上颌窦 /
- 囊肿 /
- 鼻息肉 /
- 内翻性乳头状瘤
Abstract: Objective: To study surgical techniques and clinical applications of the intranasal endoscopic combined approach in maxillary sinus benign lesions surgery.Method: A retrospective clinical analysis of 27 patients whose unilateral maxillary sinus benign lesions operated by the intranasal endoscopic middle meatus with inferior meatus tears recess approach surgical treatment was studied.Result: Benign lesions were confirmed by pathology in all patients before and after surgery as to rule out malignancy. All patients had been followed up for 12 to 24 months. Twenty-seven cases resulted in normal luminal epithelium and inferior turbinate shape after surgery. Only one case of papilloma relapsed 2 months after operation. So far, the papilloma has not recurred after the second surgery. There were no epiphora in all cases.Conclusion: Endonasal endoscopic expand anterior tears recess approach have great and clear view. This approach made us accurately, mini-invade and completely remove the maxillary sinus benign lesions. It is a physiological and functional surgery and has great advantage in the nasal cavity disease treatment.
- endoscopic sinus surgery /
- maxillary sinus /
- cysts /
- nasal polyps /
- inverted papilloma

HTML全文

参考文献(9)

[1]	黄选兆.Caldwell-Luc手术的现状[J].临床耳鼻咽喉科杂志,2003,17(2):65-67.
[2]	MINOVI A,KOLLERT M,DRAF W,et al.Invert-ed papilloma:feasibility of endonasal surgery and long-term results of 87cases[J].Rhinology,2006,44:205-210.
[3]	HOSEMANN W,SCOTTI O,BENTZIEN S.Evalua-tion of telescopes and forceps for endoscopic tran-snasal surgery on the maxillary sinus[J].Am J Rhi-nol,2003,17:311-316.
[4]	KROUSE J H.Development of a staging system or inverted papilloma[J].Laryngoscope,2000,110:965-968.
[5]	宋西成,孙岩,张华,等.鼻内镜下鼻泪管前径路和后经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.
[6]	王红力,华正茂,黄立真,等.上颌窦双径路小视窗鼻内镜手术[J].临床耳鼻咽喉头颈外科杂志,2009,23(11):519-520.
[7]	王文忠,张明洁,詹晓东,等.鼻内镜下上颌窦良性病变的手术治疗[J].临床耳鼻咽喉头颈外科杂志,2008,22(14):645-646.
[8]	周兵,韩德民,崔顺九,等.鼻内镜下鼻腔外侧壁切开上颌窦手术[J].中华耳鼻咽喉头颈外科杂志,2007,42(10):743-748.
[9]	陈玲珑,孙丽清,兰宝金,等.改良式上颌窦手术的临床应用解剖[J].中国临床解剖学杂志,2008,26(2):151-153.