【摘要】 目的:探讨经鼻内镜泪前隐窝入路治疗上颌窦病变患者的临床疗效。方法:回顾性分析2014年6月至2016年6月于我院接受手术治疗的70例上颌窦良性病变患者的临床资料,根据手术路径的不同,分成对照组34例与研究组36例。研究组患者采用鼻内镜下泪前隐窝进路,而对照组患者则采用鼻内镜下中鼻道联合下鼻道开窗进路。记录两组患者的术中出血量、手术时间和住院时间,随访12个月,观察两组患者术后并发症的发生情况及复发情况。结果:研究组患者的术中出血量、手术时间和住院时间分别为(65.28±6.37)m L、(48.72±5.46)min和(5.86±0.68)d,均低于对照组的(98.72±7.53)m L、(72.46±6.21)min和(8.12±0.46)d,两组间差异有统计学意义(P<0.05);研究组患者的并发症发生率和复发率分别为5.56%和2.78%,均低于对照组的26.47%和20.59%,两组间差异有统计学意义(P<0.05)。结论:鼻内镜下泪前隐窝入路手术治疗上颌窦良性病变,术中出血少,手术时间短,且术后并发症发生率和复发率低,值得应用于临床。更多还原

【Abstract】 Objective: To discuss the clinical effects of patients with maxillary sinus diseases accepted with endoscopic anterior prelacrimal recess surgery and its complications. Methods: 70 patients with maxillary sinus disease from June 2014 to June 2016 were retrospectively analyzed,according to the different operation paths,34 patients of them accepted with windowing of middle nasal meatus combined with inferior nasal meatus were taken as control group. 36 patients of them accepted with endoscopic anterior prelacrimal recess surgery were taken as research group. The patients in the study group underwent endoscopic anterior lacrimal recess approach,while the control group underwent endoscopic sinus approach through the lower nasal meatus.The intraoperative blood loss,operation time and length of stay were recorded in the two groups. The follow-up period was 12 months. The postoperative complications and recurrence of the two groups were observed. Results: The intraoperatve blood loss,operative time and hospital stays were( 65.28±6.37) m L,( 48.72±5.46)min and( 5.86±0.68) d in research group,which were lower than that in control group,differences were statistically significance( P <0.05). The complication occurrence rate and recurrence rate were 5.56% and 2.78%in research group,while that in control group were 26.47% and 20.59%,differences were statistically significance( P < 0. 05). Conclusions: Patients with maxillary sinus diseases in treatments of endoscopic anterior prelacrimal recess surgery with less operative time,less intraoperative bleeding,lower complication occurrence rate and recurrence rate,which is worthy of clinical use.更多还原