43例真菌球型鼻窦炎诊疗分析

Clinical analysis of fungus ball sinusitis in 43 cases

目的探讨真菌球型鼻窦炎的病因、临床特点、手术方式及疗效。方法回顾分析北京仁和医院耳鼻咽喉头颈外科2013年11月~2017年4月收治的43例真菌球型鼻窦炎患者的临床资料。全部患者均在全身麻醉下行鼻内镜手术治疗。结果术后随访6个月至1年,1例真菌球型蝶窦炎患者术后6个月复发,再次手术后随访6个月未见无复发。结论真菌球型鼻窦炎根据临床表现,结合鼻窦CT检查可初步诊断,鼻内镜手术是治疗的主要方法,预后良好。

Objective To explore the etiology, clinical characteristics, surgical treatment and effect of fungus ball sinusitis. Methods Clinical data of 43 patients suffering from fungus ball sinusitis admitted in our department between Nov. 2013 and April 2017 were analyzed retrospectively. All the patients were treated with endoscopic sinus surgery. Results All the patients had been followed up for 6 to 12 months postoperatively. Of them, one patient with fungus ball sphenoiditis recurred 6 months after surgery. A revisional surgery was performed and no recurrence occurred during the follow-up of 6 months. Conclusion The fungus ball sinusitis can be primary diagnosed by clinical manifestation combined with computerized tomography （CT） of sinus. Endoscopic sinus surgery is the main surgical method with good prognosis.