辅助检查对诊断变应性真菌性鼻窦炎的重要意义

目的探讨辅助检查对确诊变应性真菌性鼻窦炎的作用。方法收集60例患者有关变应性真菌性鼻窦炎相关资料,进行回顾性分析,男性26例;女性34例。鼻窦CT扫描采用骨窗和软组织窗扫描并结合组织病理学检查及临床检查结果。结果其中52例为单侧鼻窦发病,8例为双侧病变,全部为多鼻窦受累;有18例出现鼻窦扩张和鼻窦骨壁骨质出现压迫性吸收。病理学表现为:光镜下(HE染色)存在嗜酸性或淡嗜碱性变应性粘蛋白怎多,大量嗜酸性粒细胞及夏—莱结晶。结论变应性真菌性鼻窦炎的影像检查、病理学特征与其他鼻窦炎不同。可辅助准确诊断变应性真菌性鼻窦炎。

Objective To explore the value of auxiliary examinations for accurate diagnosis of allergic fungal sinusitis .Methods Collect 60 diagnosis examination results for CT imaging and pathological data of allergic fungal sinusitis,26 males and 34 cases of nasal sinus CT scanning scanning of bone and soft tissue windows and combined examination and clinical examination results histopathology . Results Unilateral sinus 52 cases and bilateral lesions in 8 cases,in order to sinus involvement; 18 patients sinus expansion increases and the antrum wall bone compression absorption. Pathological features; under light microscope( HE staining ) : amorphous pale eosinophilic or pale basophilic allergic mucin,large numbers of eosinophils and summer-Lai crystallization. Conclusions The auxiliary examination of these patients show different with others paranasal sinusitis. It can aid accurate diagnose the allergic fungal sinusitis.