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上颌窦腔重迭结构多,病变较难发现。随着CT扫描在临床上的广泛应用,提高了上颌窦疾病的诊断准确率。现将40例(63侧)上颌窦CT扫描与术中所见情况进行比较。 1 临床资料 共40例(63侧),男26例,女14例,年龄21～63岁,平均45.3岁。入院前23例患者接受不同程度的治疗,其中上颌窦穿刺术13例,鼻息肉摘除术5例,柯—陆氏手术3例,柯—陆氏手术+鼻息肉摘除术2例。 全部患者接受轴位CT扫描。术前全部患者接受抗菌治疗,23例患者行上颌窦穿刺术,全部患者均行柯—陆氏手术。
The structure of the maxillary sinus overlap, more difficult to find lesions. With the wide application of CT scanning in clinic, it improves the diagnostic accuracy of maxillary sinus diseases. Now 40 cases (63 sides) maxillary sinus CT scan and intraoperative findings were compared. A total of 40 cases of clinical data (63 sides), 26 males and 14 females, aged 21 to 63 years, mean 45.3 years old. Twenty-three patients before admission received varying degrees of treatment, including 13 cases of maxillary sinus puncture, 5 cases of nasal polypectomy, 3 cases of Ke-Lu operation, 2 cases of Ke-Lu operation and nasal polyp removal. All patients underwent axial CT scan. All patients received antimicrobial treatment before surgery, 23 patients underwent maxillary sinus puncture, all patients underwent Ke - Lu surgery.