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目的为论证功能性上颌窦手术在临床的应用价值并探讨其与传统的上颌窦根治术的优劣。方法功能性上颌窦手术与传统的上颌窦根治术治疗共68例上颌窦疾病患者,进行术后随访。其中功能性上颌窦手术(A组)32例(46侧),传统上颌窦根治术(B组)36例(42侧),均作了鼻及鼻内窥镜检查。结果A组的治愈率及造口通畅率均较B组为高,但窦腔及窦口息肉以A组发生率为高。结论前者疗效较后者更具优势,但亦存在不足,并不能全面取代传统的上颌窦根治术。
Objective To demonstrate the clinical value of functional maxillary sinus surgery and to explore its advantages and disadvantages with traditional maxillary sinus surgery. Methods Functional maxillary sinus surgery and conventional maxillary sinus surgery in 68 patients with maxillary sinus diseases were followed up. Among them, 32 cases (46 sides) were functional maxillary sinus surgery (group A), and 36 cases (42 sides) were performed conventional radical maxillary sinus surgery (group B). Nasal and nasal endoscopy were performed. Results The cure rate and patency of group A were higher than that of group B, but the incidence of polyp in sinus cavity and ostium was higher in group A than in group B. Conclusion The former is more effective than the latter, but there are also shortcomings, and can not completely replace the traditional maxillary sinus surgery.