摘要
目的:分析非侵袭性真菌性鼻及鼻窦炎的临床特点、诊治过程及疗效,探讨其诊断要点、处理措施及影响疗效和转归的因素。方法:回顾性总结111例非侵袭性真菌性鼻及鼻窦炎患者的临床资料,分析该疾病的临床症状、鼻内镜及CT检查、手术方法、疗效及复发患者的处理。结果:通过临床症状、鼻内镜及CT检查,86例患者术前已获确诊。全部患者经功能性内镜鼻窦手术治疗均获临床治愈,无一例出现手术并发症,随访1～5年,复发12例,于门诊表面麻醉下鼻内镜处理后7例治愈,5例效果不佳。结论:非侵袭性真菌性鼻及鼻窦炎具有独特的鼻内镜及CT表现,可与一般的慢性鼻鼻窦炎相鉴别;鼻内镜手术是治疗非侵袭性真菌性鼻及鼻窦炎的有效手段;彻底清除病变及术后鼻窦引流通畅是影响疗效和转归的最主要因素。
Objective：To analyze the clinical characteristics,diagnosis and treatment course and clinical effect of non-invasive fungal rhino-sinusitis,and to investigate the diagnostic and treating methods and factors affecting the clinical outcome.Method：A retrospective study was conducted on 111 patients who were diagnosed with non-invasive fungal rhino-sinusitis from 2005 to 2009 in our department.Clinical symptoms,endoscopic and CT examinations,surgical methods,surgical outcomes and the treatment of the recurrent cases were reviewed.Result：Eighty-six cases were reassured of the non-invasive fungal rhino-sinusitis by means of clinical symptoms,endoscopic and CT examinations.All the patients who underwent functional endoscopic sinus surgery showed satisfying clinical effect and no complications occurred.During the follow-up,recurrence was found in 12 cases 1 to 5 years postoperatively,and 7 were cured after medication and debridement under endoscope in outpatient department while the clinical outcome of the other 5 was unsatisfactory.Conclusion：Non-invasive fungal rhino-sinusitis is distinctive in endoscopic and CT examination which is different from common chronic rhino-sinusitis,and endoscopic sinus surgery is an effective treatment for the disease.Radical debridement and successful drainage of the nasal sinus is the key factor affecting the effect of the treatment and clinical outcome.
出处
《临床耳鼻咽喉头颈外科杂志》
CAS
CSCD
北大核心
2011年第23期1084-1086,共3页
Journal of Clinical Otorhinolaryngology Head And Neck Surgery
关键词
鼻窦炎
真菌病
鼻内镜手术
sinusitis
nosomycosis
endoscopic sinus surgery
