变应性真菌性鼻窦炎的临床观察  

Clinical observation of allergic fungal sinusitis

作　　者：申金霞[1] 于德林[1] 余力生[1] 钱利华[2] 

机构地区：[1]北京大学人民医院耳鼻咽喉科,北京100044 [2]北京大学人民医院病理科

出　　处：《临床耳鼻咽喉科杂志》2002年第5期206-207,共2页Journal of Clinical Otorhinolaryngology

摘　　要：目的 :探讨变应性真菌性鼻窦炎 (AFS)的诊断及治疗。方法 :8例AFS患者均行鼻内窥镜手术、激素治疗及抗真菌药物冲洗术腔。结果 :随访 13～ 4 0个月 ,2例复发 ,再次接受同样治疗 ,现仍在随访中。结论 :AFS的症状主要表现为变应性鼻炎的症状及骨质吸收 ,需要鼻内窥镜手术、激素及抗真菌药物等综合治疗。AFS易复发 。Objective:To study the diagnosis and treatment of allergic fungal sinusitis (AFS).Method:Eight cases of AFS were analysed.The cardinal symptom is the symptom of allergic rhinitis and bone erosion of sinus.All cases were treated with the endoscopic sinus surgery,steroids and topical antifungal therapy.Result:In follow up of 13 months to 40 months,no recurrence ocurred with 6 cases,recurrence with 2 cases then were given the same treatment again and are in follow up now.Conclusion:The cardinal symptom of AFS is the symptom of allergic rhinitis and bone erosion of sinus.The comprehensive treatment with the endoscopic sinus surgery,steroids and topical antifungal therapy is needed.AFS is easily recurrent.The long term follow up is very important.

关 键 词：鼻内窥镜手术 诊断 治疗 变应性真菌性鼻窦炎 临床观察 

分 类 号：R765.41[医药卫生—耳鼻咽喉科]