慢性上颌窦炎的近期和远期疗效

来源 :国外医学.耳鼻咽喉科学分册 | 被引量 : 0次 | 上传用户:evemxy
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对193例(238个窦)慢性上颌窦炎于治疗后作了1~3月近期临床随访,结果:鼻源性组145窦中,99个治愈,46个(28个系保守治疗)好转;牙源性组93窦中,67个初期治愈,对未愈的加用了手术,最后92个治愈,1个好转。之后进行1~6年(平均3.5年)的选期观察,从已无症状的患者中随机挑出53个窦,加上仍有症状的94个窦一并作临床以及X线检查,又进一步从中随机选出78窦进行窦内窥镜检查,结果:鼻源性组的远期治愈好转率为65.5%,其中单纯保守治疗组为34.3%,限局性窦内手术(息肉、囊肿切除)为76.5%,柯陆手术组为80%;牙源性组远期治愈好转率为83.5%,其中单纯牙科治疗的为92.3%,牙科治疗合并窦内小手术为90.2%,牙科治疗合并柯陆手术 A total of 193 patients (238 sinus) with chronic maxillary sinusitis were followed up for a period of 1 ~ 3 months after treatment. Results: Among the 145 sinuses of nasal group, 99 were cured and 46 (28 conservatives) were cured. Odontogenic group 93 sinuses, 67 initial healing, unhealed plus surgery, the last 92 cured, a turn for the better. After 1 to 6 years (an average of 3.5 years) of the election period of observation, from asymptomatic patients were randomly selected 53 sinus, with 94 still sinus symptoms and clinical and X-ray examination, and further Randomly selected 78 sinus sinus endoscopy, the results: nasal group long-term cure rate was 65.5%, of which conservative treatment group was 34.3%, limited local sinus surgery (polyp, cyst resection) as 76.5% of the patients in the Coru group and 80% in the Coru group. The long-term improvement rate of odontogenic group was 83.5%, including 92.3% of the simple dental operations, 90.2% of the minor operations of the dental treatment combined with sinus surgery,
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