真菌球型鼻窦炎临床分析及术后生活质量调查  

Clinic analysis of fungus ball sinusitis and a survey of the postoperative quality of life

作　　者：李雪盛[1] 钱进[1] 李厚恩[1] 

机构地区：[1]海军总医院全军耳鼻咽喉科中心,北京100048

出　　处：《中国耳鼻咽喉颅底外科杂志》2016年第1期24-26,共3页Chinese Journal of Otorhinolaryngology-skull Base Surgery

摘　　要：目的回顾性分析真菌球型鼻窦炎临床特点,观察鼻内镜手术治疗对患者生活质量改善的影响。方法选择2009年6月-2013年6月住院确诊为真菌球型鼻窦炎患者,调查分析其临床特点,并对2013年1-6月38例患者使用SNOT-20及VAS量表,调查其鼻内镜手术后生活质量改善情况。结果真菌球型鼻窦炎男女发病率分别为30.1%及69.9%,发病年龄为54.08±13.86岁,单侧上颌窦发病率为85.6%,糖尿病发病率为15%,显著高于国内成人发病率（P〈0.05）,术后6个月SNOT-20及VAS量表评分显著减低（P〈0.01）。结论真菌球型鼻窦炎好发于中老年人群,女性患者多发,以单窦特别是上颌窦为主,糖尿病是发病危险因素之一,手术治疗可以显著提高生活质量。Objective To analyze the clinic characteristics of fungus ball sinusitis,and to observe improvement of quality of life（ QOL） in patients after endoscopic sinus surgery. Methods Clinic characteristics of fungus ball sinusitis were investigated via retrospective analysis on clinical data of patients with this disease hospitalized in our department from June 2009 to June 2013. Postoperative QOL survey was performed on data of 38 cases hospitalized from Jan. 2013 to June2013 at the 6th month after surgery by SNOT-20 and VSA scale. Results The rates of male and female were 30. 1% and69. 9% respectively,with the onset age of 54. 08 ± 13. 86 years. This disease occurred in unilateral maxillary sinus in85. 6%. Of all the patients,15% suffered from diabetes,which was significantly higher than that of domestic adults（ P〈 0. 05）. Postoperative QOL survey showed that the scores of SNOT-20 and VSA scale were significantly lessened（ P〈 0. 01）. Conclusions Fungus ball sinusitis mainly afflicts middle and old female patients,and usually involves single maxillary sinus. Diabetes is one of the risk factors. Endoscopic sinus surgery can improve patients＇ QOL significantly.

关 键 词：真菌性鼻窦炎 鼻腔鼻窦结局量表 视觉模拟量表 生活质量 鼻内镜术 

分 类 号：R765.4[医药卫生—耳鼻咽喉科]