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目的探讨鼻内镜下经鼻底微创手术治疗牙源性上颌窦囊肿的手术方法和临床效果。方法对32例牙源性上颌窦囊肿的患者在鼻内镜下经鼻底隆起处造口,清除囊液,拔出腔内牙齿,对不能拔出的牙齿可以保留,根尖囊肿有牙痛的患者可以行根管治疗。结果 32例手术后的患者经过随访,无复发病例,症状消失,无面部麻木者。结论经鼻内镜下鼻底微创手术造口治疗牙源性上颌窦囊肿手术简单,效果良好,患者无并发症,痛苦小,花费少,值得在临床推广。
Objective To investigate the surgical methods and clinical effects of nasal endoscopic minimally invasive surgery for odontogenic maxillary sinus cysts. Methods Twenty-two patients with odontogenic maxillary sinus cysts underwent endoscopic nasal endoscopic orthotopic buccal mucosal resection. The cyst fluid was removed and the internal cavities were removed. The teeth that could not be pulled out were preserved. The apical cysts had toothache Patients can be treated by root canal. Results 32 cases of postoperative patients were followed up, no recurrence, the symptoms disappeared, no facial numbness. Conclusion Endoscopic nasal endoscopic minimally invasive surgery for the treatment of odontogenic maxillary sinus cyst is simple and effective, patients with no complications, less pain, less cost, worthy of clinical promotion.