下鼻道粘膜瓣开窗与上颌窦自然窦口治疗上颌窦黏膜囊肿的临床效果

目的 总结并对比下鼻道粘膜瓣开窗与经上颌窦自然窦口治疗上颌窦黏膜囊肿的临床价值.方法 回顾性分析2014年7月2016年7月间无锡市人民医院耳鼻咽喉科手术治疗的63例上颌窦黏膜囊肿患者的病历资料, 分为下鼻道粘膜瓣开窗和经上颌窦自然窦口手术2组, 对比2组患者的手术时间、术中出血量、术后住院天数、手术并发症和手术疗效.结果 2组手术时间、术中出血量、术后住院天数、手术并发症和手术疗效均无统计学差异 (P>0.05) .下鼻道粘膜瓣开窗组发生下鼻甲黏膜肿胀2例, 经上颌窦口组发生病灶残留 (二次手术) 1例.结论 鼻道粘膜瓣开窗较经上颌窦自然窦口手术适用范围更宽, 在治疗上颌窦黏膜囊肿时, 应合理选择手术路径.

Comparison of Maxillary Ostium with Fenestration of Lower Nasal Mucosal Flap in Treating Maxillary Sinus Mucosa Cyst

Objective To compare the clinical effects of maxillary ostium with fenestration of lower nasal mucosal flap in treating maxillary sinus mucosa cyst. Methods We retrospectively analyzed the medical records of 63 patients with maxillary sinus mucosal cysts from July 2014 to July 2016. They were divided into two groups to be treated by fenestration of the lower nasal mucosa flap and the maxillary ostium. The operative time, intraoperative blood loss, postoperative in-hospital stay, surgical complications, and operative efficacy were compared between the two groups. T-test and Chi-square test were employed for data analysis. Results There was no significant difference in operation time, intraoperative blood loss, postoperative in-hospital stay, operative complications and surgical outcome (P>0.05) . Swelling in the inferior turbinate mucosa occurred in 2 cases treated by fenestration of the lower nasal mucosa flap, and lesion occurred in 1 case treated with maxillary ostium group (repeated surgery) .Conclusion Fenestration of the lower nasal mucosa flap had wider range of application than maxillary ostium. The treatment of maxillary sinus mucosal cysts should choose a reasonable surgical path.