摘要
目的探讨鼻内镜下治疗慢性侵袭性真菌性鼻窦炎的疗效。方法在鼻内镜下对45例慢性侵袭性真菌性鼻窦炎患者行鼻窦清创术,部分病例加行下鼻道开窗术,彻底清除鼻窦病变组织及鼻病变黏膜和骨质,充分开放鼻窦,术后应用大扶康冲洗术腔,并定期行鼻内镜检查。结果随访6个月至6年,治愈41例,复发4例。复发病例经再次鼻内镜手术后治愈,无手术并发症。结论鼻内镜下鼻窦清创术是治疗侵袭性真菌性鼻窦炎的重要手段,术后定期复查并辅以大扶康术腔冲洗,疗效良好。
Objective To evaluate the therapeutic effect of endoscopic sinus surgery （ESS） for chronic invasive fungal rhinosinusitis. Methods 45 eases of chronic invasive fungal rhinosinusitis were treated with endoscopic sinus surgery. During operation, all the involved tissues including sinusal mueosa and bone were thoroughly eliminated. The wounds were washed with flueonazole after operation. Results After follow-up for 6 to 72 months, 41 patients were cured and 4 recurred eases were cured by revision ESS. No complication occurred. Conclusion Endoscopic sinus surgery is an ideal way of treating chronic invasive fungal rhinosinusitis. Postoperative endoscopic cheek and wound irrigation with flueonazole are beneficial to success.
出处
《中国耳鼻咽喉颅底外科杂志》
CAS
2007年第3期206-208,共3页
Chinese Journal of Otorhinolaryngology-skull Base Surgery
