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鼻内镜手术治疗非侵袭性真菌性鼻-鼻窦炎59例分析

Analysis on non-invasive fungal rhinosinusitis for 59 cases by endoscopic sinus surgery

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【作者】 王丽妍李慧军姚宪义

【Author】 WANG Liyan LI Huijun YAO Xianyi(Department of Otolaryngology-Head and Neck Surgery,the Affiliated First Hospital of Harbin Medical University,Harbin,150001,China)

【机构】 哈尔滨医科大学附属第一医院耳鼻咽喉-头颈外科

【摘要】 目的:探讨非侵袭性真菌性鼻-鼻窦炎的致病原因、临床特征、鼻内镜手术方法及临床疗效。方法:对2003-01-2006-12的59例非侵袭性真菌性鼻-鼻窦炎的临床资料进行回顾性分析。结果:全部病例随访2~5年,无一例并发症,57例一次性治愈,复发2例,经再次手术后治愈。结论:鼻内镜手术清除病灶是治疗非侵袭性真菌性鼻-鼻窦炎的最有效方法,手术中应尽量扩大鼻窦的自然开口,手术后定期冲洗窦腔及定期复查可防止疾病的复发。

【Abstract】 Objective:To explore the etiology and clinical features of non-invasive fungal rhinosinusitis and to evaluate the methods and curative effects of endoscopic sinus surgery.Method:The denial and follow-up data of 59 patients with non-invasive fungal rhinosinusitis were retrospectively analyzed.Result:Following up for 2-5 years,no complications were observed.Fifty-seven patients were cured and two cases were recurred.Conclusion:Clearing up the infected focus by endoscopic sinus surgery is an effective treatment of non-invasive fungal rhinosinusitis.Enlarging the opening of cavity during the operation,the regular irrigation and rechecking after the operation were important for avoiding the recurrence.

【关键词】 鼻窦炎鼻内镜真菌病治疗
【Key words】 sinusitisnasal endoscopicmycosestreatment
  • 【文献出处】 临床耳鼻咽喉头颈外科杂志 ,Journal of Clinical Otorhinolaryngology Head and Neck Surgery , 编辑部邮箱 ,2009年10期
  • 【分类号】R765.4;R763
  • 【被引频次】17
  • 【下载频次】132
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