中国口腔颌面外科杂志

中国口腔颌面外科杂志 ›› 2017, Vol. 15 ›› Issue (5): 435-437.doi: 10.19438/j.cjoms.2017.05.012

• 论著 • 上一篇    下一篇

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评价

牛刚1，吴烨1，谢福平1，游冬冬1，刘欢欢1，陈嘉民1，林李嵩1, 2   

  1. 1.福建医科大学附属口腔医院 口腔颌面外科，福建 福州 350002;
    2.福建医科大学附属第一医院 口腔颌面外科，福建 福州 350002
  • 收稿日期:2017-02-20 出版日期:2017-08-30 发布日期:2017-10-27
  • 通讯作者: 林李嵩，E-mail：dr-lls@163.com
  • 作者简介:牛刚（1978-），男，硕士，副主任医师，E-mail:niugang1996@sohu.com
  • 基金资助:
    福建省卫生厅和计划生育委员会创新课题(2014-cx-21)

Irrigation using indwelling epidural catheter in inferior meatus as a treatment of maxillary sinus cyst

NIU Gang1, WU Ye1, XIE Fu-ping1，YOU Dong-dong1, LIU Huan-huan1, CHEN Jia-min1, LIN Li-song1, 2.   

  1. 1.Department of Oral and Maxillary Surgery, Affiliated Stomatological Hospital of Fujian Medical University. Fuzhou 350002, Fujian Province;
    2.Department of Oral and Maxillary Surgery, The First Affiliated Hospital of Fujian Medical University. Fuzhou 350002, Fujian Province, China
  • Received:2017-02-20 Online:2017-08-30 Published:2017-10-27

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摘要： 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。

关键词: 硬膜外导管, 下鼻道, 上颌窦, 颌骨囊肿

Abstract: PURPOSE: To evaluate the feasibility and clinical significance of irrigation using indwelling epidural catheter in inferior meatus as a treatment of maxillary sinus cyst. METHODS: Forty-six cases with maxillary sinus cyst were collected and analyzed. Twenty-six were treated with cyst resection and radical maxillary antrotomy; while the remaining 20 cases received the cyst resection and irrigation using indwelling epidural catheter in inferior meatus. The surgical procedures and clinical outcomes between the 2 methods were compared using SPSS 18.0 software package. RESULTS: In patients who received radical maxillary antrotomy, the average length of hospital stay was 8.6 days after surgery and all patients showed varying degrees of complications: 4 cases with never palsies, 9 cases with pain, 2 cases with wound dehiscence, 2 cases had hemorrhage, and 18 cases had congestion. In another group, with the aid of irrigation using indwelling epidural catheter, minor postoperative complications, including 7 cases of swelling and 1 cases of pain, were found. CONCLUSIONS: Irrigation using indwelling epidural catheter in inferior meatus as a treatment of maxillary sinus cyst can reduce surgery-related trauma and decrease the frequency of postoperative complications. The average length of hospital stay is shortened, which is beneficial to postoperative recovery.

Key words: Epidural catheter, Inferior meatus, Maxillary sinus, Jaw cyst

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