Serrano E, Percodani J, Uro-Coste E, Yardeni E, Abbal M, Linas M D, Recco P, Delisle M B
Department of Otolaryngology and Head and Neck Surgery, Rangueil University Hospital, Toulouse, France.
J Laryngol Otol. 2001 Mar;115(3):184-9. doi: 10.1258/0022215011907154.
The authors report a prospective study in which the aim was to analyse the usefulness of different criteria in optimizing the diagnosis of allergic fungal rhinosinusitis. From 1995 to 1998, 165 patients were operated on for chronic rhinosinusitis. Investigations used in this study for the diagnosis of allergic Aspergillus rhinosinusitis consisted of an analysis of clinical, radiological, immuno-allergic criteria. Fourteen patients presented with allergic Aspergillus rhinosinusitis. One hundred and fifty-one patients did not present any of the necessary criteria for the diagnosis of allergic Aspergillus rhinosinusitis. The results show that the characteristic macroscopic appearance, the maxillary sinus localization, and the presence of positive specific IgE to Aspergillus fumigatus are arguments that reinforce the diagnostic certitude of allergic fungal sinusitis. No specific clinical or radiological criteria orients a diagnosis of chronic rhinosinusitis toward that of allergic fungal rhinosinusitis. The other immuno-allergic tests do not contribute to the diagnosis of allergic fungal rhinosinusitis. pathological, mycological, and
作者报告了一项前瞻性研究，其目的是分析不同标准在优化变应性真菌性鼻窦炎诊断中的作用。1995年至1998年，165例慢性鼻窦炎患者接受了手术。本研究用于诊断变应性曲霉菌性鼻窦炎的检查包括临床、放射学、免疫变应性标准分析。14例患者患有变应性曲霉菌性鼻窦炎。151例患者未出现变应性曲霉菌性鼻窦炎诊断的任何必要标准。结果表明，特征性宏观表现、上颌窦定位以及对烟曲霉菌特异性IgE阳性的存在是增强变应性真菌性鼻窦炎诊断确定性的依据。没有特定的临床或放射学标准能将慢性鼻窦炎的诊断导向变应性真菌性鼻窦炎。其他免疫变应性检查对变应性真菌性鼻窦炎的诊断没有帮助。病理学、真菌学和…… （原文此处不完整）
