非侵袭性霉菌性蝶窦炎的临床特征  

Clinical Features of Non-invasive Mycosis Sphenoiditis

作　　者：刘建明[1] 周顺华[1] 刘贤安[1] 

机构地区：[1]湖南省常德市第一人民医院耳鼻喉科,湖南常德415003

出　　处：《医学临床研究》2006年第3期378-379,共2页Journal of Clinical Research

摘　　要：【目的】探讨非侵性霉菌性蝶窦炎患者的临床表现,诊断及治疗方法。【方法】总结13例非侵袭性霉菌性蝶窦炎患者的临床资料,分析其临床表现、CT资料及在鼻内镜下的手术方法与效果。【结果】13例患者均取得较好疗效,随访半年至一年半,治愈11例;好转2例。【结论】对不明原因的回吸性血涕或头痛要考虑非侵袭性蝶窦炎的可能;鼻窦CT可做出初步诊断;鼻内镜下蝶窦开放术是最佳手术方法。[Objective]To discuss the clinical manifestations, diagnosis and treatment of the non-invasive mycosis sphenoiditis. [Methods]The clinical informations of 13 cases with non-invasive mycosis sphenoiditis were summarized. All the informations of 13 cases,including the clinical manifestations,CT diagnosis and the treatment effect and method of endoscopic sinus surgery were analysed. [Results]In the follow-up of 6～ 18 months, 11 patients with non-invasire mycosis sphenoiditis were cured and 2 cases improved. [Conclusion]The probability of non invasive mycosis sphenoiditis should be considered when those patients show an unclear headache or bloody nail mucus during sniffing. The CT of the sinus can make a primary diagnosis for the non-invasive mycosis sphenoiditis and the treatment with endoscopic sinus surgery mav be the best method for the dissease.

关 键 词：蝶窦炎 曲霉菌属 

分 类 号：R765.44[医药卫生—耳鼻咽喉科]