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目的探讨不同径路手术摘除上颌窦囊肿的方法。方法回顾分析收治的78例上颌窦囊肿患者,术前常规行鼻窦CT和鼻内镜检查,分别予“柯-陆”术式20例,鼻内镜下中鼻道自然口径路20例,下鼻道开窗径路15例,中下鼻道联合径路19例,鼻腔外侧壁切开径路4例,术后随访6个月~1年。结果所有患者的囊肿都经手术摘除,无复发。结论鼻内镜下摘除上颌窦囊肿简单迅速,个体化选择手术径路并发症少,术后反应轻,应成为手术治疗上颌窦囊肿的首选方法。
Objective To explore the method of removing the maxillary sinus cyst by different pathways. Methods A retrospective analysis of 78 cases of maxillary sinus cyst treated patients with routine preoperative sinus CT and endoscopic sinus surgery were given “Ke - Lu ” surgery in 20 cases, endoscopic nasal natural orifice 20 cases , 15 cases of inferior fenestration, 19 cases of combined middle and inferior nasal path, 4 cases of path of nasal lateral wall incision followed up for 6 months to 1 year. Results All patients had cysts removed surgically without recurrence. Conclusion Nasal endoscopic sinus surgery is a simple and rapid method for the removal of maxillary sinus cysts. There are few complications in individualized operation, and the postoperative reaction is light. It is the first choice for surgical treatment of maxillary sinus cysts.