【摘要】 目的 为比较不同填塞材料及经不同填塞径路在上颌窦根治术腔应用的疗效。方法 对483例(590侧)作内窥镜下上颌窦根治术患者分别用碘仿纱条经中鼻道(109侧)、下鼻道(81侧)及胶乳球囊导尿管经中鼻道(293侧)、下鼻道(107侧)等引流孔径路作填塞，记录填塞后出血、疼痛、颌面肿胀和拔除填塞物时出血、疼痛、虚脱及远期上颌窦引流孔、窦腔情况等作疗效评价。结果 在术后近期疗效及远期疗效上胶乳球囊导尿管组均优于碘仿纱条组，而经中鼻道径路填塞组又优于经下鼻道径路组，经χ 2 检验，差异有非常显著性(P<0.01)。结论 经中鼻道径路胶乳球囊导尿管填塞可作上颌窦根治术腔的较理想选择。

    关键词 内窥镜鼻窦手术 术腔填塞 填塞物 中鼻道 胶乳球囊导尿管

    The statistical comparison of different packing materials using in maxillary sinus radical operative cavity through different packing pathway

    Li Jia，Li Duoxian，Ye Baoxiang，et al.

    Department of Otolaryngology，the People’s Hospital of Meizhou City，Guang Dong514031.

    【Abstract】 Objective To compare the clinical effect of different packing materials using in maxillary sinus radiˉcal operative cavity through different packing pathway.Methods 483cases(590sides)who got endoscopic maxillary siˉnusradicaloperationweredividedinto4groups:iodoform gauze packing through meatus nasi medius group(109sides) ......