摘要
目的：探讨非侵袭型鼻窦真菌病的临床特征、诊断和治疗。方法：回顾性分析我科近8年来采用鼻内窥镜术治疗的42例的临床资料。结果：42例均治愈。术后定期在鼻内镜下换药，38例术腔黏膜轻度水肿，窦口通畅，窦内未见菌团；4例术后初期见上颌窦内有较多干酪样物，经用1％H2O2及生理盐水多次冲洗换药后，出院时术腔干净。40例随访6个月。5年未见复发，2例失访。结论：采用鼻内窥镜手术治疗非侵袭型鼻窦真菌病较传统的柯一陆手术创伤小、照明好、清除病灶准确；不损害鼻腔正常生理功能；保证鼻窦通气引流，减少复发，治愈率高。
Objective： To explore the clinical features,diagnosis and treatment of non-invasive nasal sinus mycoses. Methods： Forty-two cases of nasal sinus mycoses were retrospectively analyzed. All had undergone an endoscopic operation. Results： After the operations, all cases got a regular chock up with an endoscope. Thirty-eight cases quickly recovered. The other four had cheese-like matter in their maxillary sinus in the initial stage. The wound was washed several times with 1% H2O2 and 0.9 % NaCI solution after the operation, and after that, the surgical cavity became clear. Forty cases were followed up for 6 months to 5 years and no recurrence occurred. The other two were not followed up. Conclusion： With endoscopic sinus surgery, surgeons can get better illumination and as many as possible functions of the nasal cavity and sinus can be preserved.
出处
《山东大学耳鼻喉眼学报》
CAS
2007年第1期62-64,共3页
Journal of Otolaryngology and Ophthalmology of Shandong University
关键词
内窥镜手术
真菌病
鼻窦
Endoscopic surgical procedures, operative
Mycoses
Paranasal sinus
