鼻内镜手术治疗非侵袭性真菌性鼻-鼻窦炎59例分析

Analysis on non-invasive fungal rhinosinusitis for 59 cases by endoscopic sinus surgery

目的:探讨非侵袭性真菌性鼻-鼻窦炎的致病原因、临床特征、鼻内镜手术方法及临床疗效。方法:对2003-01-2006-12的59例非侵袭性真菌性鼻-鼻窦炎的临床资料进行回顾性分析。结果:全部病例随访2～5年,无一例并发症,57例一次性治愈,复发2例,经再次手术后治愈。结论:鼻内镜手术清除病灶是治疗非侵袭性真菌性鼻-鼻窦炎的最有效方法,手术中应尽量扩大鼻窦的自然开口,手术后定期冲洗窦腔及定期复查可防止疾病的复发。

Objective：To explore the etiology and clinical features of non-invasive fungal rhinosinusitis and to evaluate the methods and curative effects of endoscopic sinus surgery. Method.. The denial and follow-up data of 59 patients with non-invasive fungal rhinosinusitis were retrospectively analyzed. Result： Following up for 2-5 years, no complications were observed. Fifty-seven patients were cured and two cases were recurred. Conclusion：Clearing up the infected focus by endoscopic sinus surgery is an effective treatment of non-invasive fungal rhinosinusitis. Enlarging the opening of cavity during the operation, the regular irrigation and rechecking after the operation were important for avoiding the recurrence.