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穿刺冲洗治疗小儿上颌窦炎,对上颌窦、鼻腔的通气与分泌物排出均有一定的改善,是能促进窦粘膜正常化的积极的保守疗法。作者以5~14岁的上颌窦炎儿童患者49人为对象,行上颌窦穿刺冲洗治疗,每周一次。以21人为一组穿刺冲洗后注入激素类药物和抗生素,另一组28人仅冲洗不注入药物进行对照,治疗期间常规使用口服抗生素。当症状完全消失,穿刺冲洗时窦内无贮留分泌物二周后拍片结果为阴性者判断为治愈。穿刺冲洗时观察注水时的阻力变化,以判定窦口通畅度,即穿刺时吸出窦内贮留分泌物后,再用囊式冲洗
Puncture flushing treatment of children with maxillary sinusitis, on the maxillary sinus, nasal ventilation and discharge of secretions have a certain improvement, is to promote the normalization of sinus mucosa positive conservative treatment. The author of 5 to 14-year-old children with maxillary sinusitis in 49 people as the object, the maxillary sinus puncture flushing treatment once a week. A group of 21 people were punctured and rinsed with hormone drugs and antibiotics. The other group of 28 people were rinsed only with no injection of drugs for control. Oral antibiotics were routinely used during treatment. When the symptoms disappear completely, the puncture flush sinus no storage secretions two weeks after the filming result is negative, the judge was cured. Observed when the puncture flushing water resistance changes in order to determine the degree of patency in the ostium, that is, when the puncture septum aspiration discharge secretions, and then use the pocket rinse