牙源性与非牙源性上颌窦炎鉴别诊断及其治疗方案的研究进展

doi:10.7518/gjkq.2023078

摘要/Abstract

摘要：

牙源性鼻窦炎是慢性鼻窦炎的一种，主要发生在与上颌后牙牙根解剖关系密切的上颌窦。然而，由于其相对不特异的临床表现与尚不完善的相关研究，牙源性上颌窦炎的诊断存在较大难度。目前多数研究认为，牙源性上颌窦炎的治疗以手术为主，抗菌药物为辅，然而如何选择口腔手术与鼻窦手术，以及两者的顺序仍存在争议。本文从组织病理学、微生物学、临床表现、影像学表现与治疗方案5个方面就牙源性和非牙源性上颌窦炎的诊治差异作一综述，旨在为临床医生提供更好的诊治方案，并为牙源性上颌窦炎的相关研究提供基础。

关键词: 牙源性上颌窦炎, 慢性鼻窦炎, 诊断, 治疗

Abstract:

Odontogenic factor is an important part of the pathogenesis of chronic sinusitis. Odontogenic sinusitis mainly involves the maxillary sinus, which is anatomically closely related to the maxillary posterior teeth roots. However, the diagnosis of odontogenic maxillary sinusitis is difficult due to its nonspecific clinical presentation and imperfect studies. Most current research suggests that the primary treatment of odontogenic maxillary sinusitis is surgery, with antimicrobial drugs as adjunctive therapy. However, the choice and order of oral surgery versus sinus surgery remains controversial. This article reviewed the diagnosis and treatment of odontogenic and non-odontogenic maxillary sinusitis from histopathology, microbiology, clinical manifestations, imaging manifestations and treatment options, aiming to provide clinicians with better diagnosis and treatment options and to provide a basis for research of odontogenic maxillary sinusitis.

Key words: odontogenic maxillary sinusitis, chronic rhinosinusitis, diagnosis, treatment

中图分类号:

R 78

戢晓,张岚,黄定明. 牙源性与非牙源性上颌窦炎鉴别诊断及其治疗方案的研究进展[J]. 国际口腔医学杂志, 2023, 50(5): 566-572.

Ji Xiao,Zhang Lan,Huang Dingming.. Diagnosis and treatment of odontogenic and non-odontogenic maxillary sinusitis[J]. Int J Stomatol, 2023, 50(5): 566-572.

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