摘要
目的：探讨真菌性鼻窦炎的发病原因及鼻内镜手术治疗真菌性鼻窦炎的临床疗效。方法：采用鼻内镜手术治疗真菌性鼻窦炎35例，回顾性分析其临床表现、鼻内镜检查和鼻窦CT扫描的病变特征及手术疗效。结果：35例患者鼻内镜检查及鼻窦CT扫描显示，鼻腔均有不同程度解剖异常、窦腔内有不均匀不透光的钙化斑，全部病例术后病理学检查均发现真菌丝。术后随访6个月至2年，治愈31例（89．66％），显效3例（8．57％），无效1例（2．86％）。结论：鼻腔局部解剖结构异常及病变与真菌性鼻窦炎关系密切；鼻窦CT扫描结合鼻内镜检查是诊断真菌性鼻窦炎的重要方法；经鼻内镜充分开放病变鼻窦窦口，彻底清除病灶，保持窦口引流通畅，是治疗和预防复发的重要手段。
Objective ： To investigate the etiology of fungal sinusitis and the clinical effects of endoscopic surgery. Methods： Thirty five cases with fungal sinusitis received the endoscopic surgery. Their clinical manifestations, findings of nasal endoscopy, CT scan images on the affected accessory nasal cavity and curative effects were analyzed retrospectively. Results： All of the 35 cases showed various degree of abnormality in nasal cavity by CT scan and nasal endoscopy. The calcified plaques with heterogeneous density and opacity were observed in the nasal sinuses. The postoperative pathological examination confirmed that the fungal hypha appeared in all cases. These patients had been followed up for six months to two years, 31 cases （ 89.66% ） were cured well, 3 （8.57 % ） excellenl and one eases （2.86 % ） showed ineffective. Conclusions： The abnormality of anatomic structure and pathological changes of nasal cavity are closely related to fungal sinusitis, which diagnosed mainly by the computerized tomography and nasal endoscopy. Opening the ostium of affected nasal sinuses, thoroughly eliminating the focus of infection and keeping the drainage opening, are very important procedures to treat fungal sinusitis and prevent it from relapsing.
出处
《解剖与临床》
2009年第3期197-199,共3页
Anatomy and Clinics
关键词
鼻窦炎
真菌
鼻内镜
手术
解剖学
Sinusitis
Fungi
Nasal endoscope
Operation
Anatomy
