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目的探讨鼻内镜下经中鼻道上颌窦自然口扩大联合泪前隐窝入路治疗真菌性上颌窦炎的适应证及疗效。方法回顾分析2008年6月至2014年6月行鼻内镜下经中鼻道上颌窦自然口扩大联合泪前隐窝入路治疗真菌性上颌窦炎32例患者的临床资料,分析联合入路的适应证、疗效及并发症。结果患者均完整彻底清除病变,无并发症发生。随访1年半以上,均无复发。结论鼻内镜下经中鼻道上颌窦自然口扩大联合泪前隐窝入路视野清晰,对上颌窦暴露充分,上颌窦霉菌清除彻底,创伤小,疗效确切,可作为鼻内镜下经中鼻道行上颌窦扩大或辅助下鼻道开窗仍无法彻底清除窦内霉菌的首选方法。
Objective To investigate the indications and curative effects of nasal endoscopic natural enlargement of the maxillary sinus combined with anterior tears on the treatment of fungal maxillary sinusitis. Methods The clinical data of 32 patients with fungal maxillary sinusitis treated by nasal endoscopic natural enlargement of the middle maxillary sinus combined with anterior tears approach under endoscopic sinus surgery from June 2008 to June 2014 were reviewed retrospectively. Indications, efficacy and complications. Results The patients were complete and complete removal of lesions, no complications. Follow-up more than 1 year and a half, no recurrence. Conclusions Nasal endoscopic sinus enlargement combined with the premolar anteroposterior approach has a clear field of vision, full exposure to the maxillary sinus, complete removal of maxillary sinus mold, minimal trauma and effective curative effect. The nasal line of maxillary sinus enlargement or auxiliary window under the nose still can not completely remove the first method of sinus mold.