非侵袭型孤立性霉菌性蝶窦炎11例诊治分析  

Diagnosis and treatment of 11 cases with non-invasive isolated fungal sphenoid sinus

作　　者：肖平[1] 张学辉[1] 符秋养[1] 刘华盛[1] 黄健男[1] 

机构地区：[1]广东省第二人民医院耳鼻咽喉-头颈外科,广州510317

出　　处：《中国医疗前沿》2012年第1期46-47,共2页China Healthcare Innovation

基　　金：广东省医学科研基金课题(编号:A2007149)

摘　　要：目的探讨非侵袭型孤立性霉菌性蝶窦炎的临床特征、诊断和治疗。方法对11例经组织病理学证实为霉菌性蝶窦炎的临床表现、体征、影像学及手术治疗进行总结分析。结果所有病例均采用鼻内镜下蝶窦开放术,术后6-8周术腔逐渐上皮化,临床症状消失,随访6个月,无复发病例。结论非侵袭型孤立性霉菌性蝶窦炎因其临床表现的非特异性、蝶窦解剖位置的特殊性,临床上易误诊、漏诊。加强对本病的认识及对鼻窦CT的读片理解可获取更精确的信息,鼻内镜下蝶窦开放定位技术改进使蝶窦疾病的治疗更安全、更有效。Objective To investigate the clinical characteristics,diagnosis and treatment of non-invasive isolated fungal sphenoid sinus.Methods A retrospective study was made on 11 cases proved histopathology of fungal sphenoid sinus to discuss the clinical manifestation,signs,computed tomography and the result of surgery.Results All of the patients were treated by nasal endoscopic sinus surgery.The epithelium of cavity had grown gradually after 6-8 weeks.All clinical symptoms were disappeared and followed up for 6 mongths.No recurrence was occurred.Conclusion The non-invasive isolated fungal sphenoid sinus was difficult to be diagnosed because of its non-specific symptoms and the special nature of anatomical location of the sphenoid sinus.It could provide more accurate information by enhancing the understanding of the disease and reading sinus CT.It was more effective and safer by using the positioning technology of nasal endoscopic sinus to improve the treatment of sphenoid sinus disease.

关 键 词：霉菌性蝶窦炎 头痛 鼻窦CT 鼻内镜手术 

分 类 号：R765.4[医药卫生—耳鼻咽喉科]