真菌球型鼻-鼻窦炎的诊断与治疗探析

Diagnosis and treatment of fungal ball rhino-sinusitis

目的:探讨真菌球型鼻-鼻窦炎的诊断和治疗方法。方法:对我院2005-09-2012-01期间经鼻内镜手术治疗术后病检确诊并有随诊记录的128例真菌球型鼻-鼻窦炎患者的临床资料进行回顾性分析。结果:128例真菌球型鼻-鼻窦炎患者经鼻内镜手术后4～9周窦腔上皮化良好,1例8个月后复发。结论:鼻窦CT扫描及鼻内镜检查对真菌球型鼻-鼻窦炎的诊断有着十分重要的意义,鼻内镜手术治疗是真菌球型鼻-鼻窦炎最为重要的治疗手段。

Objective：To explore the diagnosis and treatment of the fungal ball rhino-sinusitis.Method：The clinical data of 128 cases with the fungal ball rhino-sinusitis in our hospital between September 2005 and January 2012 were retrospectively analyzed.All patients were accepted nasal endoscopic surgery and followed up after surgery.The diagnosis were confirmed by postoperative pathological examination.Result：The sinus of all patients epithelialized after the surgery from fourth to ninth weeks,one case recurred eight months later.Conclusion：Sinus CT scan and nasal endoscopy were very important to the diagnosis of the fungal ball rhino-sinusitis,and nasal endoscopic surgery is the most important treatment method to fungal ball rhino-sinusitis.