摘要
目的提高对孤立性真菌球性蝶窦炎的认识,以期早期诊治。方法回顾性分析9例孤立性真菌球性蝶窦炎的临床表现、影像学特点、治疗结果和随访情况,并复习相关文献;全部病例在鼻内镜下行蝶窦开放术。结果术后6周术腔逐渐上皮化,术后8～10周可出现清洁、规整的术腔;随访6～14个月,无复发病例。结论孤立性真菌球性蝶窦炎症状无特异性,不易及时确诊;鼻内镜和CT检查能提高术前诊断率,病理学检查可明确诊断;鼻内镜鼻窦手术治疗真菌球性蝶窦炎优势明显。
OBJECTIVE To improve the early diagnosis and treatment of the isolated sphenoid sinus aspergilloma （ISSA）. METHODS The clinical data of 9 patients with ISSA were retrospectively analyzed.The clinical presentation,radiological feature,treatment and follow up results and the related riteratures were reviewed. RESULTS All of the patients were treated by nasal endoscopic sinus surgery and followed up for 6 to 14 months. No recurrence was occurred. CONCLUSION ISSA was difficult to be diagnosed in early stage because of its non-specific symptoms. The use of nasal endoscope and GT scan makes early preoperative diagnosis possible. The diagnosis can be definitely confirmed by pathological studies.There is an advantage in management of ISSA with functional endoscopic sinus surgery.
出处
《中国耳鼻咽喉头颈外科》
北大核心
2005年第7期449-451,共3页
Chinese Archives of Otolaryngology-Head and Neck Surgery
