窦内黏膜征象在真菌性鼻窦炎诊治中的作用

The role of sinus mucosa morphology in the diagnosis and treatment of fungal sinusitis

【目的】探讨窦内黏膜征象在真菌性鼻窦炎诊治中的作用。【方法】根据窦内分度情况,对2005-2008年29例经手术病理证实的真菌性鼻窦炎病例选择不同的治疗方法,对结果进行观察分析。【结果】窦内黏膜为Ⅰ、Ⅱ度,行鼻窦内真菌病变清除术,治愈率达95.7%,窦内黏膜为Ⅲ、Ⅳ度,行鼻窦清创术,一次手术治愈率为83.3%。【结论】窦内黏膜征象可以为真菌性鼻窦炎的治疗方法的选择提供比较可靠的依据。

【Objective】To discuss the role of sinus mucosa morphology in the diagnosis and treatment of fungal sinusitis.【Methods】During 2005 to 2008,according to the sinus mucosa morphology of fungal sinusitis in 29 cases which have been confirmed by pathologic examination,therapy were choosed and outcomes were observed and analyzed.【Results】The healing rate of the group in which sinus mucosa morphology was light damaged and only fungal ball was cleared,was 95.7%,The healing rate of the other group in which sinus mucosa morphology was moderate or severely damaged and the diseased nasal sinus was debrided,was 83.3%.【Conclusions】Sinus mucosa morphology may provide the comparative basis to the therapy of fungal sinusitis.