[侵袭性真菌性上颌窦炎16例分析]
[Analysis of 16 cases with aggressive fungal maxillary sinusitis].
作者信息
Zhu G, Shen X, Jiang D, Zhou S, Li Z
机构信息
Department of Otolaryngology, People's Hospital of Funing, Funing 224400.
出版信息
Lin Chuang Er Bi Yan Hou Ke Za Zhi. 1999 Nov;13(11):495-6.
OBJECTIVE
To improve the diagnosis and treatment level of aggressive fungal maxillary sinusitis.
METHOD
16 cases were diagnosed with CT. Caldwell-Luc's surgery was done in 13 cases and Lima surgery in 3 cases. None of them were treated by antifungal agents.
RESULT
It showed osteolytic damage with bony defect which was different from expanded bony defect caused by benign tumor, but similar to malignant tumor. No recurrence occurred as followed from 6 months to 2 years.
CONCLUSION
Computed tomography is very important in its diagnosis. Early explorative operation is useful in making definite diagnosis.
目的
提高侵袭性真菌性上颌窦炎的诊疗水平。
方法
16例患者均行CT检查确诊。13例行柯陆氏手术，3例行利马手术。均未使用抗真菌药物治疗。
结果
表现为骨质溶解性破坏伴骨质缺损，不同于良性肿瘤所致的骨质膨胀性缺损，而与恶性肿瘤相似。随访6个月至2年无复发。
结论
计算机断层扫描在其诊断中非常重要。早期探查手术有助于明确诊断。
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