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本文对1979～1985年中经上颌窦筛窦刮除术(TE)74例次,鼻外筛窦刮除术(EE)47例次进行对比,结果TE并发症少而疗效优于EE。手术适应证;TE均为X线或CT证实为筛窦上颌窦疾病,抗感染治疗失败者,或抗生素、激素、收敛剂和(或)鼻息肉切除仍无效病例。术中发现筛窦炎64例次(91％),霉菌病2,坏死性肉芽肿1,类肉瘤病1,内翻性乳头状瘤1。EE筛窦炎19例次,粘液囊肿8,伴眶蜂窝织炎5,肿瘤7,CSF漏修补3,眶减压2,霉菌病2。手术失血量:TE367±
This article from 1979 to 1985 in the maxillary sinus ethmoidecterectomy (TE) 74 cases, 47 cases of nasal ethmoidectomy (EE) were compared, the results of TE less complications and better than EE. Surgery indications; TE was confirmed by X-ray or CT of ethmoid maxillary sinus disease, anti-infective treatment failure, or antibiotics, hormones, astringents and / or nasal polyps resection is still ineffective. Surgery found ethmoid sinus 64 cases (91%), mycosis 2, necrotizing granuloma 1, sarcoidosis 1, inverted papilloma 1. EE ethmoid sinusitis 19 cases, mucinous cysts 8, with orbital cellulitis 5, tumor 7, CSF leak repair 3, orbital decompression 2, mycosis 2. Surgery blood loss: TE367 ±