鼻内镜下手术治疗真菌性鼻-鼻窦炎60例

目的:探讨鼻内窥镜治疗真菌性鼻-鼻窦炎手术方法及临床疗效的观察。方法:对60例接受鼻内窥镜手术治疗的真菌性鼻-鼻窦炎患者的临床资料进行回顾性分析,探讨手术方式、手术疗效及术后随访结果。结果:60例真菌性鼻-鼻窦炎患者经手术治疗均获得临床治愈,无明显手术并发症,随访6个月至2年,1例复发。结论:鼻腔鼻窦粘膜肿胀造成的局部引流障碍与真茵性鼻-鼻窦炎的发生密切相关,鼻内镜手术是治疗真茵性鼻-鼻窦炎的有效方法,彻底清除病变及术后鼻窦引流通畅是影响疗效及转归的重要因素。

The Clinical Observation of the 60 cases of fungal rhinosinusitis through the endoscopic sinus surgery

Objective:To discuss the endoscopic sinus surgery effect of the fungal rhinosinusitis and observe the clinical treating effect.Methods: Through the retrospective analysis of the 60 fungal rhinosinusitis patients cases who undergo the nasal endoscopic surgery,to discuss the operating methods、treating effect and results of the post operation follow-up.Result:The 60 cases of the fungal rhinosinusitis patients all be fully treated,without the obvious operating complication occurred,through the follow-up for 6 months to 2 year,1 case recurred.Conclusion: the edema of the nasal cavity and nasal sinus mucous membrane that lead to local drainage dysfunction keep closely relationship with the occurrence of fungal rhinosinusitis,the nasal endoscopic sinus surgery is a kind of effective method for the treatment of it.Totally clean the local fungal tissue and maintain fluent drainage after the operation are the important factor for the treatment and transition of the fungal rhinosinusitis.