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[手术联合氟康唑治疗真菌性鼻-鼻窦炎]

[Surgery added with fluconazole in treatment of fungal rhinosinusitis].

作者信息

Zhang Zhiyuan, Zhang Jian, Luo Wugen, Jiang Hongqun

机构信息

Department of Otorhinolaryngology Head and Neck Surgery, the First Affiliated Hospital of Nanchang University, Nanchang, 330006, China.

出版信息

Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2012 Aug;26(15):692-3, 696.

PMID:23167181
Abstract

OBJECTIVE

To explore the effect of surgery added with antifungal agents in treatment of fungal rhinosinusitis.

METHOD

One hundred and two consecutive patients with fungal rhinosinusitis were randomly divided into two groups: the control group (n=48) were treated with surgery alone, the treatment group (n=54) were treated with surgery plus antifungal therapy during operation and postoperation. The patients were followed up for 6 months and the relapse rates between two groups were compared.

RESULT

No relapse was observed in the treatment group. The relapse rate of the control group was 20.8% (P < 0.01).

CONCLUSION

Surgery plus antifungal therapy can prevent the relapse of fungal rhinosinusitis significantly.

摘要

目的

探讨手术联合抗真菌药物治疗真菌性鼻窦炎的效果。

方法

将102例连续性真菌性鼻窦炎患者随机分为两组:对照组(n = 48)仅接受手术治疗,治疗组(n = 54)在手术中和术后接受手术联合抗真菌治疗。对患者进行6个月的随访,并比较两组之间的复发率。

结果

治疗组未观察到复发。对照组的复发率为20.8%(P < 0.01)。

结论

手术联合抗真菌治疗可显著预防真菌性鼻窦炎的复发。

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[Surgery added with fluconazole in treatment of fungal rhinosinusitis].[手术联合氟康唑治疗真菌性鼻-鼻窦炎]
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2012 Aug;26(15):692-3, 696.
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[Treatment of invasive rhinosinusitis--the case report].[侵袭性鼻-鼻窦炎的治疗——病例报告]
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The role of antifungal therapy in the prevention of recurrent allergic fungal rhinosinusitis after functional endoscopic sinus surgery: a randomized, controlled study.抗真菌治疗在功能性鼻内镜鼻窦手术后预防复发性变应性真菌性鼻窦炎中的作用:一项随机对照研究。
Ear Nose Throat J. 2011 Aug;90(8):E1-7. doi: 10.1177/014556131109000815.
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Clin Infect Dis. 2000 Jul;31(1):202-4. doi: 10.1086/313938.
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[Invasive fungal rhinosinusitis (a case report)].[侵袭性真菌性鼻-鼻窦炎(病例报告)]
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Fluconazole as prophylaxis against fungal infection in patients with advanced HIV infection.氟康唑用于预防晚期HIV感染患者的真菌感染。
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Effectiveness of itraconazole in the management of refractory allergic fungal rhinosinusitis.伊曲康唑治疗难治性变应性真菌性鼻-鼻窦炎的疗效
J Otolaryngol Head Neck Surg. 2008 Dec;37(6):870-4.
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Invasive fungal sinusitis caused by Pseudallescheria boydii: case report and literature review.博伊德假阿利什菌引起的侵袭性真菌性鼻窦炎:病例报告及文献综述
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引用本文的文献

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Topical and systemic antifungal therapy for chronic rhinosinusitis.慢性鼻-鼻窦炎的局部和全身抗真菌治疗
Cochrane Database Syst Rev. 2018 Sep 10;9(9):CD012453. doi: 10.1002/14651858.CD012453.pub2.
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Successful Treatment by Surgery of a Primary Cutaneous Mucormycosis Caused by Mucor irregularis.手术成功治疗不规则毛霉引起的原发性皮肤毛霉病。
Mycopathologia. 2018 Apr;183(2):445-449. doi: 10.1007/s11046-017-0219-4. Epub 2017 Oct 30.