非侵袭型上颌窦真菌病37例临床分析  

A clinical analysis on 37 cases with non-invasive rhinomycosis in maxillary sinus

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作  者:伍启刚[1] 戴熙善[1] 

机构地区:[1]郧阳医学院附属太和医院耳鼻咽喉科,湖北十堰442000

出  处:《中国中西医结合耳鼻咽喉科杂志》2005年第3期141-143,共3页Chinese Journal of Otorhinolaryngology in Integrative Medicine

摘  要:目的探讨非侵袭型上颌窦真菌病的临床特征及手术方式.方法回顾性分析1997年1月~2003年6月在我科治疗的37例非侵袭型上颌窦真菌病的临床资料.本病单发于一侧上颌窦,以鼻涕带血、鼻塞为主要症状,鼻窦CT多示有窦腔内钙化影,手术为主要治疗方法.结果治疗以经鼻内镜手术为主,全部治愈,随访6月~2年无复发.其中经尖牙窝入路22例,经中鼻道入路15例.结论非侵袭型上颌窦真菌病应根据鼻窦CT所示病灶范围选择手术方式.本病预后良好.Objective To investigate the clinical features of non-invasive maxillary sinus mycosis and operating procedures of surgical treatment for this lesion. Methods A retrospective study was carried out on 37 cases with this lesion treated in our hospital from Jan,1997 to Jun,2003.In this study ,all the clinical data were carefully analysed,including symptoms ,signs and the findings from CT scan and their association with the ultimate therapeutic effects. Results All the cases were cured by the therapy mainly composed of ESS,with none reoccurrence by the end of a following up period lasted from 6 months to 2 years.Their lesion was occurred only in a single maxillary sinus and manifested mainly as bloody nasal secretion and nasal blockage.The image of CT scan often showed calcification in the sinus cavity. Conclusions The surgical Pattern field for non-invasive maxillary mycosis should be depended upon the range of lesion showed on the CT film of sinus.This lesion can be cured by appropriate therapy in majority.

关 键 词:上颌窦真菌病 非侵袭型 临床分析 2003年6月 经鼻内镜手术 手术方式 1997年 回顾性分析 临床特征 临床资料 主要症状 治疗方法 病灶范围 无复发 尖牙窝 中鼻道 本病 CT 鼻窦 入路 

分 类 号:R763[医药卫生—耳鼻咽喉科]

 

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