鼻内镜手术治疗真菌性鼻窦炎96例报告  

The report of treatment of 96 cases with fungal sinusities by the nasal endoscopic surgery

作　　者：郑天其[1] 田蓉[1] 刘鹤[1] 

机构地区：[1]成都市第一人民医院耳鼻咽喉科,四川成都610041

出　　处：《四川医学》2010年第8期1083-1084,共2页Sichuan Medical Journal

摘　　要：目的探讨真菌性鼻窦炎的发病原因及鼻内镜手术治疗非侵袭性真菌性鼻窦炎的疗效。方法采用鼻内镜手术治疗非侵袭性鼻窦炎96例,分析其临床表现、鼻内镜检查和鼻窦CT扫描特征及手术疗效。结果 96例患者经鼻内镜检查及鼻窦CT扫描显示,鼻腔均有不同程度解剖异常和病变特征,术后病理学检查均发现真菌丝,随访6个月-2年,治愈85例（88.54%）,显效9例（9.38%）,无效2例（2.08%）。结论非侵袭性真菌性鼻窦炎与鼻腔解剖异常及病变有关系,鼻内镜检查和鼻窦CT是诊断真菌性鼻窦炎的重要方法,鼻内镜手术是治疗本病的重要手段。Objective To investigate the etiology of fungal sinusitis and the clinical effect of the endoscopic sinus surgery for non-aggressive fungal sinusitis.Methods To adopt the endoscopic sinus surgery to treat 96 cases of non-aggressive fungal sinusitis and to analyse their clinical symptom,nasal endoscopic examinations,nasal sinus CTs,and the effect of endoscopic sinus surgery.Results All of the 96 patients have the abnormal anatomies and the characteristics of pathological changes in their nasal cavities by the nasal endoscopies and nasal sinus CTs.Their post-operation pathological examinations all found the fungal hypha.Having been followed up 6 months to 2 years,85 cases（88.54%）are cured,9 cases（9.38%）are improved,2 cases（2.08%）are ineffective.Conclusion Non-aggressive fungal sinusitis is related with the abnormal anatomy and the pathological changes of nasal cavity.Nasal endoscopy and nasal sinus CT are of great importance to diagnose the fungal sinusitis.The nasal endoscopic surgery is the important method to treat this disease.

关 键 词：鼻窦炎 内镜术 真菌病 

分 类 号：R765.41[医药卫生—耳鼻咽喉科]