非侵袭型上颌窦真菌病37例临床分析

目的探讨非侵袭型上颌窦真菌病的临床特征及手术方式.方法回顾性分析1997年1月～2003年6月在我科治疗的37例非侵袭型上颌窦真菌病的临床资料.本病单发于一侧上颌窦,以鼻涕带血、鼻塞为主要症状,鼻窦CT多示有窦腔内钙化影,手术为主要治疗方法.结果治疗以经鼻内镜手术为主,全部治愈,随访6月～2年无复发.其中经尖牙窝入路22例,经中鼻道入路15例.结论非侵袭型上颌窦真菌病应根据鼻窦CT所示病灶范围选择手术方式.本病预后良好.

A clinical analysis on 37 cases with non-invasive rhinomycosis in maxillary sinus

Objective To investigate the clinical features of non-invasive maxillary sinus mycosis and operating procedures of surgical treatment for this lesion. Methods A retrospective study was carried out on 37 cases with this lesion treated in our hospital from Jan,1997 to Jun,2003.In this study ,all the clinical data were carefully analysed,including symptoms ,signs and the findings from CT scan and their association with the ultimate therapeutic effects. Results All the cases were cured by the therapy mainly composed of ESS,with none reoccurrence by the end of a following up period lasted from 6 months to 2 years.Their lesion was occurred only in a single maxillary sinus and manifested mainly as bloody nasal secretion and nasal blockage.The image of CT scan often showed calcification in the sinus cavity. Conclusions The surgical Pattern field for non-invasive maxillary mycosis should be depended upon the range of lesion showed on the CT film of sinus.This lesion can be cured by appropriate therapy in majority.