非侵袭性真菌性鼻窦炎46例临床分析  

Clinical Analysis of 46 Non-invasive Fungal Sinusitis

作　　者：郭敛容[1] 乔国梁[1] 胡洪义[1] 

机构地区：[1]北京大学深圳医院耳鼻喉科,深圳518036

出　　处：《中国现代手术学杂志》2011年第3期236-238,共3页Chinese Journal of Modern Operative Surgery

摘　　要：目的探讨非侵袭性真菌性鼻窦炎的临床表现、诊断和手术疗效。方法回顾性分析46例非侵袭性真菌性鼻窦炎患者的临床资料。结果 46例患者平均随访2.6(1～5)年,筛窦、蝶窦单发真菌感染鼻内镜手术5例,术后均无复发。上颌窦真菌感染鼻内镜手术33例,2例复发,复发率6.1%;鼻内镜联合改良柯-陆氏手术8例,术后均无复发。结论非侵袭性真菌性鼻窦炎经鼻内镜手术是一种有效的治疗方法,鼻内镜联合改良柯-陆氏手术清除上颌窦真菌更彻底,能减少复发。Objective To evaluate the clinical manifestation,diagnosis and surgical treatment of non-invasive fungal sinusitis.Method 46 cases diagnosed non-invasive fungal sinusitis were retrospectively analyzed.Results 46 cases were followed up ranged from 1 to 5 years after operation.5 cases of single ethmoid fungal sinusitis or sphenoid fungal sinusitis treated by endoscopy had no recurrence.In the 33 cases of maxillary fungal sinusitis had conceived nasal endoscopic management,2 cases were given the second operation because of recurrence.While 8 cases of maxillary fungal sinusitis conceived endoscopic plus Caldwell-Luc management had no recurrence.Conclusions The endoscopic surgery of non-invasive fungal sinusitis is an effective method.Endoscopic plus Caldwell-Luc surgery can completely remove the fungus in sinus and decrease the recurrence.

关 键 词：鼻窦炎 真菌性 内窥镜检查 

分 类 号：R765.4[医药卫生—耳鼻咽喉科]