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目的:探讨拔牙过程中断根进入上颌窦时取出牙根的手术方法。方法:对在拔牙过程中断根进入上颌窦的15例患者,应用经牙槽窝吸引法、经牙槽窝上颌窦冲洗法、经牙槽窝上颌窦纱条填塞法进行手术取出断根。结果:9例患者应用吸引法和经牙槽窝上颌窦冲洗法快速取出断根,6例应用纱条填塞法联合上颌窦冲洗和吸引法取出断根。结论:采用经牙槽窝上颌窦纱条填塞法联合经牙槽窝上颌窦冲洗法和吸引法,可以成功取出进入上颌窦的断根。手术方便快捷,对设备要求低,对患者的创伤小,是非常有效的治疗方法。
Objective: To explore the surgical method of removing the root when the root of the tooth is pulled into the maxillary sinus during tooth extraction. Methods: Fifteen patients with maxillary sinus at the root of the tooth during tooth extraction were treated with alveolar socket method, maxillary sinus irrigation of the alveolar socket and maxillary sinus bandage in the alveolar socket. Results: Nine patients were treated with suction method and maxillary alveolar cleansing of alveolar fossa. Six cases were treated with gauze packing and maxillary sinus flushing and suctioning to remove the root. CONCLUSION: The root canal insertion into the maxillary sinus can be successfully removed using the maxillary sinus banding method combined with maxillary sinus irrigation and aspiration of the alveolar fossa. Convenient and rapid operation, low requirements on the equipment, small trauma to patients, is a very effective treatment.