鼻窦内窥镜手术治疗真菌性鼻窦炎的临床疗效观察

Clinical Efficacy of Endoscopic Sinus Surgery for Fungal Sinusitis

目的：探究临床上使用鼻窦内窥镜用于真菌性的鼻窦炎（NIFS）的手术治疗的疗效。方法随机选取我院2012年3月～2015年3月份的80例 NIFS 患者，对其临床的病症以及体征进行回顾性的调查分析。将患者在局部麻醉的条件下采用 Messerklinger 方式进行鼻内镜手术。结果本研究中的80例患者，最终都康复出院。对其进行定期随访，随访时间在0.5～3年。随访过程中，发现患者的鼻道以及上颌窦口很通畅，鼻黏膜正常，在患者的鼻窦中大部分没有发现真菌性质的块状物质，也没有异常的鼻腔分泌物；有2例患者复发再次入院治疗后康复。复发率为2.5%。结论对患者使用 CT 检查，然后行鼻窦内窥镜的手术疗法，有利于对患者的鼻窦炎做出准确的诊断，但临床上的确诊还需借助病理学的进一步检查；对于 NIFS 的治疗，采取鼻内窥镜的手术疗法是首选。

Objective To explore the clinical use of endoscopic sinus for fungal sinusitis （NIFS） the efficacy of surgical treatment. Methods In March 2012 to March 2015, 80 cases of patients NIFS were randomly selected in our hospital, the investigation analyzed retrospectively the clinical signs of the disease as well. The patient under local anesthesia in surgery, the use of endoscopic surgery Messerklinger way. Results In this study, 80 patients were eventually discharged. Its regular follow-up, follow-up time of 0.5 to 3 years. During follow-up, patients with maxillary sinus and nasal passages are clear, 2 patients relapse rehabilitation after hospitalization. The recurrence rate was 2.5%. Conclusion NIFS patients for CT examination, then underwent endoscopic sinus surgery therapy is beneficial for patients with sinusitis make an accurate diagnosis, but the diagnosis of clinical pathology needs further examination of the aid, for NIFS treatment, take endoscopic sinus surgery is the preferred treatment.