真菌球型蝶窦炎的临床特点分析

发布时间：2018-06-21 12:56

本文选题：蝶窦炎 + 真菌球　；参考：《临床耳鼻咽喉头颈外科杂志》2017年01期

【摘要】：目的:分析真菌球型蝶窦炎的临床特点及其与真菌球型上颌窦炎的差异。方法:回顾性分析50例经病理确诊的真菌球型蝶窦炎病例(病例组)及同期273例真菌球型上颌窦炎病例(对照组)的临床资料,比较其发病相关因素及临床特点。结果:真菌球型蝶窦炎多见于50岁左右女性,左侧较右侧常见,病程在半年内的患者约占40%;主要症状为头痛、鼻塞、涕中带血、异味涕、眼胀、鼻根胀痛、溢泪等。与真菌球型上颌窦炎相比,蝶窦炎头痛、眼胀、溢泪更常见(P0.05)。CT表现为病变窦腔软组织影中有钙化影,可伴局部骨质的增厚、硬化、缺损。50例真菌性蝶窦炎中仅1例有二次手术史,手术治愈率高达98%。结论:真菌球型蝶窦炎临床症状多样,头痛、眼胀、溢泪具有相对特异性。CT诊断特异性较强,手术是最有效的治疗方法。
[Abstract]:Objective: to analyze the clinical characteristics of fungal spherical sphenoid sinusitis and its difference from fungal spherical maxillary sinusitis. Methods: the clinical data of 50 cases of fungal sphenoid sinusitis diagnosed by pathology and 273 cases of fungal bulbar maxillary sinusitis (control group) were analyzed retrospectively. Results: fungal spherical sphenoid sinusitis was more common in females at the age of 50 years, the left side was more common than the right side, and the course of disease was about 40 in half a year. The main symptoms were headache, nasal congestion, blood in snot, bad smell, eye distension, distension of nose root, overflowing tears and so on. Compared with fungal bulbar maxillary sinusitis, sphenoid sinusitis is more common in headache, eye distention, and lacrimal overflow (P0.05). Ct features include calcification in soft tissue shadow of diseased sinus cavity, which can be accompanied by thickening and sclerosis of local bone. Of the 50 cases of fungal sphenoid sinusitis, only 1 case had a history of secondary surgery, and the cure rate was as high as 98%. Conclusion: the clinical symptoms of fungal sphenoid sinulitis are various, headache, eye distension, and lacrimal sphenoid sinulitis have relative specificity. Ct is the most effective method for the diagnosis of sphenoid sinusitis.
【作者单位】：重庆医科大学附属第一医院耳鼻咽喉科;
【基金】：国家临床重点专科建设项目经费资助[No:卫办医政函(2012)649号] 重庆市卫生计生委科研项目(No:2015HBRC004) 重庆市研究生科研创新项目(No:CYS151210) 重庆市自然科学基金重点项目(No:cstc2015jcyjB0028)
【分类号】：R765.44

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