87例复发性变应性真菌性鼻-鼻窦炎综合治疗的临床分析

Clinical analysis of combined treatment in 87 patients with recurrent allergic fungal rhinosinusitis

目的:探讨以鼻内镜手术为中心的综合治疗对术后复发性变应性真菌性鼻-鼻窦炎(AFRS)的疗效。方法:对87例术后复发AFRS患者进行以鼻内镜手术为中心的综合治疗。结果:所有患者术后均随访1年以上,术后患者临床症状较术前有较大的改善,患者术后1年视觉模拟量表(VAS)评分低于术前(P<0.05),鼻内镜随访患者Lund-Kennedy评分低于术前(P<0.05),42例病情完全控制(48.28%),37例病情部分控制(42.53%),有效率达90.81%。结论:以鼻内镜手术为中心的综合治疗对术后复发AFRS有良好的疗效,术后复发AFRS的治疗除手术彻底开放鼻窦和清除真菌外,还应重视消除炎症反应。

Objective：To evaluate the effects of combined treatment with FESS on postoperative recurrent allergic fungal rhinosinusitis treatment.Method：Eighty-seven patients with allergic fungal sinusitis under combined treatment were investigated.Result：All patients were followed up for more than one year.Clinical symptoms had greatly improved after treatment compared with before treatment.Postoperative VAS score and Lund-Mackay score were lower than preoperative ones.Out of 87 patients,42 patients were successfully cured,37 patients showed improvement,but there was no change in other 8 patients.The total efficacy rate was 90.81%.Conclusion：The combined treatment of recurrent allergic fungal rhinosinusitis treatment has achieved good effect.We should not only open sinus and remove the fungi,but also should pay attention to the elimination of inflammatory response in the treatment of recurrent allergic fungal rhinosinusitis.