真菌性鼻鼻窦炎发病相关因素及临床特征分析

Fungal rhino-sinusitis incidence related factors and clinical characteristics analysis

目的 研究真菌性鼻鼻窦炎发病的相关因素及对其临床特征进行分析.方法 选取我院耳鼻喉科患有鼻窦炎患者128例,依据患者鼻炎类型分为观察组（真菌性鼻鼻窦炎）和（慢性鼻鼻窦炎）对照组每组64例,对两组患者临床资料进行回顾性分析,观察组发病的相关因素和临床特征等采用Logistic回归分析.结果 年龄、病程、头痛、斑钙化、涕血、鼻腔侧面病变是导致患者真菌性鼻鼻窦炎发病的主要因素.观察组鼻塞、流涕、脓性引流物、下鼻甲肿大明显对照组,差异显著（P＜0.05）,观察组涕血发生率显著高于对照组,差异显著（P＜0.05）;真菌性鼻鼻窦炎在上颌窦发生钙化斑均显著高于蝶窦患者.钙化斑在上颌窦的发生率与在蝶窦及颌窦的发生部位相比较.差异均有统计学意义（P＜0.05）.结论 真菌性鼻鼻窦炎发病的临床特征明显且CT诊断特异性强,可作为真菌性鼻鼻窦炎发病的重要诊断依据.

Objective clinical features. Methods hospital. According to the type of patients＇ closed eyes, dividing them into two groups, observation group （fungal rhino-sinusitis） and control group （chornic sinusitis）, each group has 64 cases. Retrospectively analyze the clinical data of these two groups and analyze the related factors and clinical features of observation group （fungal rhino-sinusitis） by using Logistic regression analysis. Results age, course of disease, headache, plaque calcification, epistaxis and nasal side lesions are the major factors to fungal rhino sinusitis. The ratio of snuffle, shed tears, purulent drainage and turbinate hypertrophy in observation group is Significantly different from control group （P 〈 0. 05 ）; the tears of blood in observation group is Significantly higher than control group（P〈0.05 ）; Calcified plaque happened in maxillary sinus of fungal rhino-sinusitis is Significantly higher than sphenoiditis. Comparing the incidence of Calcified plaque happened in maxillary sinus and happened in sphenoidal sinus and maxillary sinus, we obtaining that all the differences has statistical significance（P〈0.05 ）. Conclusion the clinical features of fungal rhino-sinusitis is obvious and the CT diagnosis has strong specificity, which can be an important diagnosis basis in fungal rhino-sinusitis.