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目的:研究鼻内镜下泪前隐窝入路治疗复杂性上颌窦病变临床效果。方法:选取2010年6月-2014年1月本科收治的复杂上颌窦病变90例,按随机数字表法分为A、B和C组,每组30例,分别采取经泪前隐窝入路上颌窦手术、上颌窦前壁开窗术、中下鼻窦道上颌窦开窗术治疗。比较三组手术时间、术后平均住院时间、复发率、并发症发生情况。结果:A组平均手术时间为(51.34±6.47)min,显著少于B组(63.49±6.98)min和C组(65.83±6.77)min(P<0.05);A、C组患者术后平均住院时间均显著少于B组(P<0.05);A组术后复发率10.00%显著低于C组60.00%(P<0.05);A组并发症发生率20.00%显著低于B组70.00%(P<0.05)。结论:鼻内镜下泪前隐窝入路手术治疗复杂性上颌窦病变疗效满意,损伤小,窦腔暴露充分,彻底切除上颌窦内的病变,术后观察方便,可作为治疗该病的首选方式。
Objective: To study the clinical effect of nasal endoscopic preimplantal approach for the treatment of complex maxillary sinus diseases. Methods: Ninety patients with complex maxillary sinus diseases admitted to our hospital from June 2010 to January 2014 were selected and divided into A, B and C groups according to the random number table method, 30 cases in each group. The anterior approach Maxillary sinus surgery, maxillary sinus anterior fenestration, the middle and lower sinus sinus maxillary sinus window treatment. The operation time, average postoperative hospital stay, recurrence rate and complications were compared between the three groups. Results: The average operation time in group A was (51.34 ± 6.47) min, significantly less than that in group B (63.49 ± 6.98) min and group C (65.83 ± 6.77) min (P <0.05) (P <0.05). The recurrence rate in group A was significantly lower than that in group C (10.00% vs 60.00%, P <0.05). The incidence of complications in group A was significantly lower than that in group B (70.00% P <0.05). Conclusion: Endoscopic sinus surgery in the treatment of complex maxillary sinus surgery satisfactory results, small damage, sinus full exposure, complete removal of maxillary sinus lesions, postoperative observation is convenient, as the treatment of the disease of choice the way.