赵冬菊 吴四海 沈莉莉

    [摘要]?目的?探討鼻内镜下泪前隐窝入路术式治疗不同上颌窦病变的可行性、适应证和临床效果。方法?回顾性分析2017年8月至2019年8月于南京医科大学附属无锡第二医院进行鼻内镜下泪前隐窝入路术式治疗不同上颌窦病变的25例患者临床资料，分析其性别、年龄、病变部位、病理结果，评价手术效果。结果?对患者随访6～24个月后，其主要症状是鼻塞和鼻部分泌物，所有病例都能够在鼻内镜直视下充分暴露上颌窦的各壁，完全切除病变，术后无鼻泪管损伤、无鼻甲萎缩等并发症。术后全部病例临床症状逐渐好转，上颌窦窦口通畅，窦腔上皮化良好，下鼻甲形态好，未见复发。最常见的不良反应是暂时性面颊部或牙齿麻木，发生率为12%。结论?鼻内镜下泪前隐窝入路术式能够充分显露上颌窦各壁，能够在直视下最大程度切除病变，操作方便。手术创伤小，并发症少，疗效满意。

    [关键词]?畲泪前隐窝入路；上颌窦；鼻内镜

    [中图分类号]?R765?[文献标识码]?A?[DOI]?10.3969/j.issn.1673-9701.2023.08.020

    Clinical?effect?of?anterior?lacrimal?recess?approach?in?the?treatment?of?different?maxillary?sinus?lesions

    ZHAO?Dongju，?WU?Sihai，?SHEN?Lili

    Department?of?Otorhinolaryngology-Head?and?Neck?Surgery，?Wuxi?Second?Hospital?Affiliated?to?Nanjing?Medical?University，?Wuxi?214000，?Jiangsu，?China

    [Abstract]?Objective?To?investigate?the?indication，?feasibility?and?clinical?effect?of?endoscopic?anterior?lacrimal?recess?approach?in?the?treatment?of?different?maxillary?sinus?lesions.?Methods?The?clinical?data?of?25?patients?treated?with?different?maxillary?sinus?lesions?by?nasal?endoscopic?prelacrimal?crypt?approach?from?August?2017?to?August?2019?in?Wuxi?Second?Hospital?Affiliated?to?Nanjing?Medical?University?were?analyzed?retrospectively ......