鼻窦真菌球：我们的患者系列分析
Fungus ball of the paranasal sinuses: Analysis of our serie of patients.
作者信息
Lop-Gros Joan, Gras-Cabrerizo Juan R, Bothe-González Carolina, Montserrat-Gili Juan R, Sumarroca-Trouboul Anna, Massegur-Solench Humbert
机构信息
Sección de Rinología, Servicio de Otorrinolaringología, Hospital de la Santa Creu i de Sant Pau , Barcelona , España.
Sección de Rinología, Servicio de Otorrinolaringología, Hospital de la Santa Creu i de Sant Pau , Barcelona , España.
出版信息
Acta Otorrinolaringol Esp. 2016 Jul-Aug;67(4):220-5. doi: 10.1016/j.otorri.2015.09.005. Epub 2015 Dec 19.
INTRODUCTION AND OBJECTIVES
The fungus ball is the most frequent type of fungal rhino-sinusitis. The objective of this study is to analyze the clinical and surgical features of our patients.
METHODS
Retrospective analysis of 35 patients with fungus ball treated in our centre between 2006 and 2014.
RESULTS
Mean age was 55 years old. 49% were men and 51% women. 75% involved the maxillary sinus, whereas 25% involved the sphenoid. 69% of our patients showed microcalcifications in the CT study. All the patients were surgically treated, with no cases of recurrence.
CONCLUSIONS
Clinical manifestations of fungus ball are non-specific, therefore endoscopy and image study are mandatory. The definitive diagnosis is made by histopathological study of the lesion. Endoscopic sinus surgery is the treatment of choice, with opening of the diseased sinus and complete removal of the fungus ball. The frequency of complications is very low. No oral or topical antimycotic treatments are necessary.
引言与目的
真菌球是真菌性鼻 - 鼻窦炎最常见的类型。本研究的目的是分析我们患者的临床和手术特征。
方法
回顾性分析2006年至2014年在我们中心接受治疗的35例真菌球患者。
结果
平均年龄为55岁。男性占49%，女性占51%。75%累及上颌窦，25%累及蝶窦。69%的患者在CT检查中显示微钙化。所有患者均接受手术治疗，无复发病例。
结论
真菌球的临床表现不具有特异性，因此内镜检查和影像学检查是必不可少的。通过病变的组织病理学研究做出明确诊断。内镜鼻窦手术是首选治疗方法，打开患病鼻窦并彻底清除真菌球。并发症的发生率非常低。无需口服或局部抗真菌治疗。
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