【摘要】 目的探讨非侵袭性真菌性鼻-鼻窦炎发病原因及鼻内镜手术治疗非侵袭性真菌性鼻窦炎手术方式与术后疗效。方法对56例非侵袭性真菌性鼻—鼻窦炎患者行鼻内窥镜手术。结果术后随访6个月～2a。治愈55例(98.2%),显效1例(1.8%)。结论鼻腔、鼻窦真菌感染主要因素可能是鼻腔鼻窦的解剖结构存在异常和病变,阻碍了鼻腔鼻窦的通气引流。鼻内窥镜手术是治疗非侵袭性真菌性鼻-鼻窦炎的首选治疗方式,术中正确处理钩突、中鼻甲、鼻中隔,术前、术后综合性治疗,定期随访有利于提高疗效,减少并发症及复发率。更多还原

【Abstract】 Objective To investigate the causes of non-invasive fungal nasal-sinusitis and nasal endoscopic surgery for the treatment of non-invasive bacteria sinusitis surgery and postoperative effect.Methods 56 cases of non-invasive fungal nasal-sinusitis in patients with nasal endoscopic surgery were explored.Results After a 6-month to 2-year follow-up,55 cases were cured(98.2%)and 1 case showed apparent efficacy(1.8%).Conclusion Nasal and sinus fungal infection may be the main factors of nasal sinus disease and abnormal anatomy,hindering drainage of nasal ventilation and nasal endoscopic sinus surgery may be the first choice for treatment nasal-sinusitis.Correct treatment of uncinate,middle nasal concha,nasal septum,preoperative and postoperative integrated treatment,and regular follow-up were conducive to raising therapeutical effects.The complication and recurrence rates were reduced.更多还原