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目的:研究鼻内镜下造口术治疗侵入眼眶的鼻窦黏液囊肿和术后处理方法及长期疗效。方法:对24例侵入眼眶的鼻窦黏液囊肿患者,均采用鼻内镜下造口术;术后按内镜鼻窦手术后的常规处理,重点是防止中鼻道粘连及窦口再狭窄和促进窦口上皮化。结果:随访1～5年。24例患者术后均无囊肿复发,无眶内并发症,眼球复位。结论:鼻内镜下造口术治疗侵入眼眶的鼻窦黏液囊肿,无复发和并发症,是一种值得推荐的手术方式;术后处理的重点是防止中鼻道粘连及窦口再狭窄和促进窦口上皮化;长期复查是必要的。
Objective: To study the nasal endoscopic ostomy for infiltration of orbital sinus mucosal cysts and postoperative management methods and long-term effect. Methods: Twenty-four patients with orbital sinus mucosal cysts were treated by endoscopic sinus surgery. After endoscopic sinus surgery, the focus was on prevention of middle nasal obstruction and sinus ostium restenosis and promotion of sinus Epithelialization. Results: Followed up for 1 to 5 years. All 24 patients had no cyst recurrence, no intraorbital complications and retrobulbar reconstruction. CONCLUSIONS: Endoscopic sinus surgery for the treatment of infraorbital mucosal cysts with no recurrence and complications is a recommended surgical procedure. Postoperative management focuses on prevention of middle nasal obstruction and sinus ostial stenosis and promotion Sinus osseous; long-term review is necessary.