真菌性上颌窦炎37例临床分析  

The clinical analysis of fungal rhino-sinusitis of 37 cases

作　　者：陈乐 

机构地区：[1]广东省阳江市第三人民医院耳鼻喉科,广东阳江529500

出　　处：《中国医药导报》2007年第12X期55-56,共2页China Medical Herald

摘　　要：目的:探讨真菌性上颌窦炎的诊断及治疗方法。方法:总结分析37例真菌性上颌窦炎的临床表现、病理学检查及治疗效果。结果:37例主要临床症状有鼻塞、流清涕伴头痛,涕中带血并有腥臭味或排出带有腥臭味的豆腐渣样碎屑团块;CT表现为上颌窦内不均匀性软组织密度影,伴不同程度的积液并常伴有沙粒状、小条片状、团块状的钙化;病变组织为大小不等灰白色、灰黄色、灰绿色、黑褐色干酪样团块状物或泥沙样物,伴出血、坏死。本组采用柯-陆式手术,术后冲洗随访8个月～3年,均无复发。结论:侵袭性真菌性上颌窦炎早期以最终病理诊断为依据,治疗以鼻窦清创术联合抗菌药物为主。Objective：To investigate the diagnosis and treatment of the fungal rhino-sinusitis. Methods：37 eases of fungal rhino-sinusitis were analyzed by clinical manifestation, pathology and therapeutic effect. Results：The main clinical symptoms has nasal obstruction, nasal discharge accompanied with headache, nasal discharge accompanied with blood or little bits which liked tofukasu accompanied smell of fish; CT revealed that the soft tissue opacity with heterogeneous density in maxillary sinuses, accompanied with with sand-like, streaked or globular calcification; All the patients were performed Caldwell-Lue operation. Conclusion：The final diagnosis of fungal rhino-sinusitis is according to pathology. The method of treatment is that debridement of accessory nasal cavity, combined with antibaeterials.

关 键 词：真菌 上颌窦炎 柯-陆手术 诊断及治疗 

分 类 号：R782[医药卫生—口腔医学]