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作者于1988年5月～1990年5月采用上颌窦钩状突骨扩大切除,鼻中甲翻转鼻侧壁造口术,治疗慢性化脓性上颌窦炎107例(142侧),获得较满意的疗效,现将手术的结果介绍如下。 1 一般资料本文107例,142侧,男性59例,女性48例。年龄15～48岁。术后静滴抗生素、激素7天,药物雾化吸入治疗。93例(127侧)随访1月～2年,除3例侧由于术中筛窦未予处理,造口处生长息肉,继续流脓涕外,余者情况良好,造口引流通畅,无一闭合。 2 手术方法 2.1 按常规上颌窦根治术施行局麻。切开上唇龈粘骨膜,分离粘骨膜,暴露尖牙窝,凿开上颌窦前壁,咬骨钳扩大开孔。
The author from May 1988 to May 1990 using the maxillary sinus hook prominence enlargement and excision, nasal A flip nose side wall ostomy, 107 cases of chronic suppurative maxillary sinusitis (142 sides), get more satisfactory Efficacy, the results of surgery are as follows. 1 General Information 107 cases of this article, 142 sides, 59 males and 48 females. Aged 15 to 48 years old. Postoperative intravenous antibiotics, hormones 7 days, drug inhalation therapy. Ninety-three patients (127 sides) were followed up from 1 month to 2 years. Except for 3 cases, the polyps were not treated in the ethmoid sinus and the polyps were grown in the ostomy. closure. 2 surgical methods 2.1 according to conventional maxillary sinus surgery local anesthesia. Open the gingival mucoperiosteum, separate the mucoperiosteum, expose the canine fossa, chisel the anterior wall of the maxillary sinus, and expand the hole with the rongeur.