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鼻窦曲菌病的内窥镜手术治疗

Aspergillus Nasal Sinusitis Endoscopic Surgery

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【作者】 王大昌赵恭华王跃

【Author】 Wang Dachang;Zhao Gonghua;Wang Yue;(China-Japan;Friendship Hospital,Beijing,100029)

【机构】 北京中日友好医院耳鼻咽喉科

【摘要】 报告5例鼻窦曲菌病,其中侵及上颌窦2例、筛上颌窦2例、蝶筛窦1例,均属非侵袭型。采用内窥镜鼻窦手术治愈,5例中4例随访4~5年,无复发。本组病例发病均与不洁的工作环境、鼻中隔偏曲、鼻息肉、慢性鼻炎等阻碍鼻通气招致曲菌感染有关。5例病理均查到有隔菌丝。本病的病理诊断常易与慢性炎症混淆,应予以重视。

【Abstract】 Five cases of non-invasive fungal sinusitis were reported.Among them were 2 cases ofmaxillary,2 of maxillo-ethmoid and sphenoid sinus.All the patients were operated under endoscopic in-tranasal approach.The pathological diagnosis of all 5 cases was aspergills infection. The pathogenesiswere conditional such as unclean working situation,deviation of nasal septum,polyposis and infection.The disease was easily confused with common infectious disease. The pathogenic factor,diagnosis and reatment were discussed.

【关键词】 曲霉菌病鼻窦炎内窥镜术
【Key words】 Aspergillosis Sinusitis Endoscopy
  • 【文献出处】 中华耳鼻咽喉科杂志 ,CHINESE JOURNAL OF OTORHINOLARYNGOLOGY , 编辑部邮箱 ,1995年03期
  • 【分类号】R765.4
  • 【被引频次】29
  • 【下载频次】21
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