鼻内镜手术治疗真菌性鼻窦炎24例报告

Treatment of fungal sinusitis with endoscopic sinus surgery:24 cases report

目的探讨鼻内镜外科技术在治疗真菌性鼻窦炎中的价值。方法对24例真菌性鼻窦炎患者行鼻内镜手术治疗,彻底清除病灶,充分开放引流,术后不用抗真菌药,对其进行临床观察和随访。结果 24例患者随访1～1.5年,除1例复发外其余23例均治愈。结论采用鼻内镜手术治疗真菌性鼻窦炎创伤小,不破坏鼻腔正常生理功能,便于术后检查与随访,治愈率高,复发率低,已基本替代了传统的上颌窦根治术,是治疗该病较为理想的方法。

Objective To explore the value of endoscopic sinus surgery in the treatment of fungal sinusitis.Methods Twenty four patients with fungal sinusitis went under the endoscopic sinus surgery.During the operation,the lesions in the sinus were removed completely,and sinus ostia were kept drainage unblocked.All the patients were followed up without antifungal agents.Results In the 1～1.5 years follow-up,there were 23 patients cured except one patient recurred.Conclusion Due to the superiority of endoscopic sinus surgery,such as keeping the normal function of nasal cavity,easy to follow-up,higher curative ratio and lower recurrence rate,which have been consider an ideal treatment for fungal sinusitis and have almost replaced the traditional maxillary sinusotomy.