鼻内镜下手术治疗非侵袭性真菌性鼻窦炎  

Treatment of non-invasive fungal nasosinusitis with endoscopic sinus surgery

作　　者：杨艳[1] 翟伟刚[1] 

机构地区：[1]上海市浦东新区浦南医院耳鼻咽喉科,上海200125

出　　处：《中国内镜杂志》2009年第5期495-496,499,共3页China Journal of Endoscopy

摘　　要：目的探讨鼻内镜下手术治疗非侵袭性真菌性鼻窦炎的疗效。方法在storz鼻内镜下对35例非侵袭性真菌性鼻窦炎患者采用Messerklinger术清除窦内病变组织,用生理盐水反复冲洗术腔,术后定期鼻内镜下换药,不用抗真菌药。结果35例随访6个月～5年,无复发,疗效满意。结论鼻腔、鼻窦引流不畅是引起真菌性鼻窦炎的主要原因,鼻内镜手术是治疗非侵袭性真菌性鼻窦炎的理想方法。[Objective] To evaluate the effect of endoscopic sinus surgery on non-invasive fungal nasosinusitis. [Methods] Totally 35 cases of non-invasive fungal nasosinusitis were treated with endoscopic sinus surgery. Pathologically changed tissues of sinuses were eliminated by Messerklinger operation. After operation, the wounds were washed with 0.9% NaCl for several times, followed up with the surgical cavities examined under nasal endoscope. No anti-fungoid medicines were used. [Results] All the 35 patients were followed up for 6 months to 5 years, and no one had a recurrence. [Conclusion] Nasal and nasal sinuses obstruction is the main reason contributing to fungal nasosinusitis. Endoscopic sinus surgery is an ideal way to treat non-invasive fungal nasosinusitis.

关 键 词：鼻内镜手术 鼻窦炎 真菌病 

分 类 号：R765.4[医药卫生—耳鼻咽喉科]