摘要
目的:探讨鼻腔、鼻窦真菌病的临床特征、诊断和治疗。方法:根据病变范围和程度采用不同术式,非侵袭型采用上颌窦根治术或鼻窦内窥镜术,侵袭型采用扩大范围的鼻窦根治术,术后辅以抗真菌药治疗。结果:非侵袭型26例,其中25例经不同术式一次治愈;侵袭型9例,其中7例经不同术式一次治愈,1例虽经4次手术,终因病变广泛未能有效控制,5个月后死亡。结论:①CT对该类疾病的诊断有重要价值,病理学检查是确诊的依据。②手术是根本的治疗手段,无论哪种类型,均须彻底清除病灶,充分开放受累的鼻窦,对病变广泛的侵袭型还须扩大手术切除范围。
Objective;To study the clinical features,diagnosis and management of nose and nasal sinuses fungus. Method: Different manner of surgical procedure was taken according to the areas and degree of pathological changes. The patients with noninvasive fungus were treated with radical maxillary sinusotomy (cald-well-Luc operation) or endoscopic sinus surgery. The patients with invasive form were undergone by the sinusotomy of enlarging areas,and combined with a postoperatively antifungal therapy. Result; Twenty-six patients were involved in noninvasive fungus, and 25 cases in them were cured in single surgery through different manner. Nine patients were in invasive one, and 7 in them were also cured by single surgery in different manner. One patient with invasive fungus died 5 months postoperatively for extensive area and noneffective treatment although four surgical excisions were done. Conclusion: CT scan is very important in their diagnosis, and the histopathology leads to identification of the fungus. Surgical removal is a radical kind of treatment. It is essential to excise and open entirely the involved sinus cavity whatever type,and to enlarge areas for the extensive invasive fungus.
出处
《临床耳鼻咽喉科杂志》
CSCD
北大核心
2002年第11期581-583,共3页
Journal of Clinical Otorhinolaryngology
