Liu Bei, Liang Jianping, Zhu Xiping, Chen Shiqiang, Lu Qiutian, He Ning, Tang Fengzhu
Department of Otolaryngology, Peoples Hospital of Guangxi Zhuang Autonomous Region, Nanning 530021.
Lin Chuang Er Bi Yan Hou Ke Za Zhi. 2002 Oct;16(10):544-5.
To explore the pathogeny, diagnosis and treatment of the noninvasive nasal sinus mycoses.
11 cases with nasal sinus mycoses were analyzed retrospectively. All of them had undergone endoscopic operation.
After operation all cases got regular check up under endoscope. 9 cases recovered quickly. The other 2 had caseous matter in their maxillary sinus in the initial stage. After cleaning up the fungus ball and washing the maxillary sinus for several times, the surgical cavity became clear. 10 cases had been followed up for 6 months to 5 years and no recurrence occurred. The other one lost follow-up.
Endoscopic operation is the basic surgical method to treat the non-invasive nasal sinus mycoses. Excising the focus thoroughly, correcting the abnormal nasal cavity structure and resuming the cleanout function of nasal sinus cilia are the principle of treatment.
探讨非侵袭性鼻窦真菌病的病因、诊断及治疗方法。
回顾性分析11例鼻窦真菌病患者的临床资料。所有患者均接受了鼻内镜手术。
术后所有患者均接受鼻内镜定期复查。9例恢复良好。另外2例初期上颌窦内有干酪样物质，清除真菌球并多次冲洗上颌窦后，术腔变清。10例随访6个月至5年，无复发。另1例失访。
鼻内镜手术是治疗非侵袭性鼻窦真菌病的基本手术方法。彻底切除病灶、纠正鼻腔结构异常、恢复鼻窦纤毛清除功能是治疗原则。
