非侵袭性真菌性鼻窦炎48例临床分析

发布时间：2018-01-19 05:13

本文关键词： 鼻内镜手术鼻窦炎真菌病　出处：《临床耳鼻咽喉头颈外科杂志》2017年14期 　论文类型：期刊论文

【摘要】：目的:探讨非侵袭性真菌性鼻-鼻窦炎的发病原因、影像学诊断、病理特点及治疗效果。方法:回顾性分析经病理确诊为真菌性鼻窦炎的48例患者的临床资料、术中所见和治疗效果。结果:48例中40例为真菌球型鼻窦炎(40/48),8例为变应性真菌性鼻-鼻窦炎,二者形态学、影像学、组织病理学、治疗方案与转归不尽相同,超过半数以上CT扫描和鼻内镜检查,均有不同程度的解剖异常(26/48),25例长期频繁使用抗生素,术后随访1~3年,一期治愈43例,复发5例(均为变应性真菌性鼻窦炎),经再次手术等综合治疗痊愈。结论:鼻腔局部解剖结构异常及抗生素的频繁使用与真菌性鼻窦炎的发病关系密切。变应性真菌性鼻窦炎术后复发率较高,综合治疗是防止复发的重要措施。慎用抗生素和激素是预防真菌性鼻窦炎发生的一个不可忽视的因素。
[Abstract]:Objective: to investigate the causes and imaging diagnosis of noninvasive fungal rhinosinusitis. Methods: the clinical data of 48 patients with fungal sinusitis were analyzed retrospectively. Results of 48 cases, 40 cases were mycosinusitis and 8 cases were allergic fungal rhinosinusitis. More than half of CT scans and nasal endoscopy showed that 25 cases with anatomic abnormality of 26% and 48% were frequently used antibiotics for a long time and followed up for 1 ~ 3 years. 43 cases were cured and 5 cases relapsed (all allergic fungal sinusitis). Conclusion: the abnormal anatomy of nasal cavity and the frequent use of antibiotics are closely related to the incidence of fungal sinusitis. The recurrence rate of allergic fungal sinusitis is higher. Comprehensive therapy is an important measure to prevent recurrence. Careful use of antibiotics and hormones is an important factor in the prevention of fungal sinusitis.
【作者单位】：武汉市第五医院耳鼻咽喉科;
【分类号】：R765.9
【正文快照】： 真菌性鼻窦炎是鼻科临床常见的一种特异性感染性疾病。临床将其分为侵袭性和非侵袭性,侵袭性临床少见,而以非侵袭性鼻-鼻窦炎多见。采用以手术为主的综合治疗。本文通过对我院2010年收治的48例非侵袭性真菌性鼻-鼻窦炎进行回顾性分析,旨在探究其临床特性及综合治疗的疗效,现报

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