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目的:探讨硬膜外导管下鼻道留置冲洗术治疗累及上颌窦的颌骨囊肿的疗效。方法 :总结46例累及上颌窦的上颌骨囊肿患者的资料,其中26例采用传统颌骨囊肿摘除术+上颌窦根治术,20例采用颌骨囊肿摘除术+硬膜外导管下鼻道留置冲洗术,比较2种手术方式的疗效。采用SPSS 18.0软件包对数据进行统计学分析。结果:采用上颌窦根治手术的患者术后平均住院8.6 d,所有患者均出现不同程度的并发症,术区麻木4例,术区疼痛9例,创口裂开2例,出血2例,鼻塞18例,发热2例。采用硬膜外导管下鼻道留置冲洗术的患者,术后平均住院3.5 d,出现肿胀7例,疼痛1例,其余患者未出现明显的术后并发症。结论:硬膜外导管下鼻道留置冲洗术治疗累及上颌窦的颌骨囊肿,可减少手术创伤和术后并发症,缩短住院时间,有利于术后恢复。
Objective: To investigate the curative effect of epidural catheter under nasal irrigation for maxillary sinus cysts. Methods: The data of 46 patients with maxillary sinus involving the maxillary sinus were summarized. Among them, 26 cases were treated by traditional maxillary cyst excision + maxillary sinus surgery, 20 cases were treated by maxillary sinus cyst excision + epidural catheterization Surgery, the efficacy of two surgical methods. Data were statistically analyzed using SPSS 18.0 software package. Results: The average postoperative hospitalization for patients undergoing maxillary sinus surgery was 8.6 days. All patients had different degrees of complications. There were 4 cases of numbness in operation, 9 cases of pain in operation, 2 cases of dehiscence, 2 cases of bleeding, 18 cases of nasal obstruction 18 Cases, fever in 2 cases. Patients who underwent epidural catheterization for rhinoplasty had an average postoperative hospital stay of 3.5 days, 7 cases of swelling and 1 case of pain. The remaining patients showed no significant postoperative complications. CONCLUSION: Epidural catheterization of the nasal passages for the treatment of maxillary sinus jugular cysts can reduce surgical trauma and postoperative complications, shorten hospital stay, and facilitate postoperative recovery.