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| 变应性真菌性鼻-鼻窦炎的诊断与治疗 | |
| 引用本文： | 宋道亮,李娜. 变应性真菌性鼻-鼻窦炎的诊断与治疗[J]. 山东大学耳鼻喉眼学报, 2011, 25(3): 52-54 |
| 作者姓名： | 宋道亮 李娜 |
| 作者单位： | 1.青岛大学医学院； 2.青岛大学医学院附属医院耳鼻咽喉-头颈外科， 山东 青岛 266003 |
| 摘 要： | 目的 探讨变应性真菌性鼻-鼻窦炎（allergic fungal rhino sinusitis， AFRS）的临床特点及治疗方法。方法 回顾性分析确诊的16例AFRS的临床表现、CT扫描结果、血清检测、皮肤点刺实验、术后病理结果以及鼻内镜手术治疗效果。结果 AFRS患者临床表现不典型，CT有特异性表现，病理切片可见真菌菌丝。16例患者中有5例复发，再次治疗后无复发。结论 诊断AFRS主要依据病史、CT表现、病理学检测。鼻内镜手术结合激素应用是治疗AFRS的有效手段。 |
| 关 键 词： | 真菌性，变应性，鼻-鼻窦炎；鼻内镜外科手术 |
| 收稿时间： | 2010-12-31 |
Diagnosis and treatment of allergic fungal rhino-sinusitis |
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| SONG Dao-liang,LI Na. Diagnosis and treatment of allergic fungal rhino-sinusitis[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2011, 25(3): 52-54 | |
| Authors: | SONG Dao-liang LI Na |
| Affiliation: | 1. Medical College of Qingdao University； 2. Departerment of Otolaryngology ＆ Head and Neck Surgery, Affiliated Hospital of Medical College of Qingdao University， Qingdao 266003, Shandong, China |
| Abstract: | Objective To analyze clinical manifestations and treatment of allergic fungal rhinosinusitis(AFRS)． Method Clinical manifestation features, sinus CT scan characteristics, serum IgE detection and treatment effect of nasal endoscopy for 16 cases of AFRS were retrospectively analyzed. Results AFRS had no peculiar clinical manifestations and CT scans showed serpiginous. All cases were cured by nasal endoscopy. Conclusion Diagnosis of AFRS depends on history, CT scanning and histopathology. Comprehensive treatment by endoscopic sinus surgery in combination with steroids is effective for AFRS. |
| Keywords: | Fungal， allergic， rhinosinusitis； Endoscopic sinus surgery |
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