真菌球型蝶窦炎和真菌球型上颌窦炎的临床症状及影像学特征比较

Comparison of Clinical Presentations and Radiological Signs Between Fungal Ball Maxillary Sinusitis and Fungal Ball Sphenoid Sinusitis

目的分析真菌球型蝶窦炎和真菌球型上颌窦炎的临床症状及影像学特征。方法收集2015年1月至2020年6月就诊于我院的30例真菌球型蝶窦炎患者以及同期收治的126例真菌球型上颌窦炎患者的病历及影像学资料,对比分析两者的临床症状及影像学特征。结果真菌球型蝶窦炎和真菌球型上颌窦炎均好发于40~60岁的女性,病程均以半年内最常见,CT特征性表现均为钙化灶及骨质增生。与真菌球型上颌窦炎相比,真菌球型蝶窦炎的头痛、眼胀、溢泪更多见(P<0.05);与真菌球型蝶窦炎相比,真菌球型上颌窦炎的面部不适更多见(P<0.05)。结论真菌球型蝶窦炎和真菌球型上颌窦炎的CT特征均为钙化灶、骨质增生。头痛是真菌球型蝶窦炎常见且相对特征性的临床症状。眼胀和溢泪是真菌球型蝶窦炎相对特征性的临床症状,面部不适是真菌球型上颌窦炎相对特征性的临床症状。

Objective To evaluate and contrast the clinical presentations and radiological signs of fungal ball sphenoid sinusitis(FBSS)versus fungal ball maxillary sinusitis(FBMS).Methods The clinical presentations and radiological signs were retrospectively investigated in 30 FBSS and 126 FBMS patients treated at our hospital from January 2015 to June 2020.Results Both FBSS and FBMS tended to occur in females aged 40 to 60 years old.The disease course was most common within six months.The characteristic CT findings were calcified foci and osteophytes.Headache,eye swelling,and epiphora were more common in FBSS than in FBMS(P<0.05);Facial discomfort was more common in FBMS than in FBSS(P<0.05).Conclusion CT features of both FBSS and FBMS are calcified foci and osteophytes.The common and relatively characteristic clinical symptom is headache in FBSS.The relatively characteristic clinical symptoms are eye ache bilges and tears spill in FBSS,and facial discomfort in FBMS patients.