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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 evaluate the curative effect of maxillary sinus surgery by Caldwell-Luc (maxillary sinus surgery) assisted by endoscopy. Methods 35 patients with maxillofacial lesions underwent endoscopic removal of the uncinate process and extended the natural opening of the maxillary sinus. At the same time, Caldwell-Luc procedure was used to open the window of the canine fossa. Nasal window. Results 35 patients were followed up for 1 year, no complications, the cure rate reached 100%. Conclusion Endoscopic Caldwell-Luc surgery for the treatment of maxillary sinus lesion trauma, good lighting, does not damage the normal physiological function of the nasal cavity to ensure ventilation and drainage of the sinuses, the recurrence rate is low, the effect is stable.