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目的:探讨在上颌骨囊肿的治疗中单纯进行鼻底开窗术的可行性。方法:选择以面部肿胀或伴硬腭隆起就诊的患者15例,经CT检查证实为上颌骨囊肿,采取鼻内镜下单纯鼻底开窗术,切除完全囊肿囊壁或部分切除,使囊腔与下鼻道融合为一个腔,保证囊肿腔与鼻腔引流通畅。结果:术后随访6-24个月,平均随访12个月,15例面部胀感均消失,未出现面部隆起,定期复查鼻内镜及鼻窦CT,囊肿术腔黏膜均于术后2-3个月上皮化,囊肿均无复发,术腔、鼻窦腔引流通畅。结论:经鼻内镜开窗治疗上颔骨囊肿简便、安全、创伤小、恢复快、疗效确切、复发率低,术后便于观察术腔情况,尤其适合侵犯鼻腔底的大型上颌骨囊肿。
Objective: To explore the feasibility of simple endoscopic fenestration in the treatment of maxillary cysts. Methods: Fifteen cases of facial swelling or swelling with hard palate were selected. The maxillary cysts were confirmed by CT. Nasal endoscopic endoscopic fenestration was performed to remove completely cyst wall or partial resection, Under the nasal cavity into a cavity to ensure smooth drainage of the cyst and nasal cavity. Results: All patients were followed up for 6-24 months. The patients were followed up for an average of 12 months. Fifteen cases of facial distension disappeared without any facial uplift. Nasal endoscopy and sinus CT were performed regularly. Month of epithelialization, no recurrence of cysts, cavity, sinus cavity drainage patency. Conclusions: Transnasal endoscopic window treatment of superior stapes cyst is simple, safe, small trauma, rapid recovery, curative effect and low recurrence rate. It is easy to observe the cavity after operation, especially for large maxillary cysts that infiltrate the bottom of nasal cavity.