CT诊断和鼻内窥镜手术对真菌性鼻-鼻窦炎的诊治探讨

目的探讨真菌性鼻-鼻窦炎恰当的诊断及治疗方法。方法回顾性对2005年4月～2009年4月我科收治的35例真菌性鼻-鼻窦炎的临床症状、CT表现及鼻内窥镜治疗效果分析。结果 35例真菌性鼻-鼻窦炎经鼻内窥镜下鼻窦开放手术后冲洗鼻窦治疗后随访6个月～2年3,3例1次治愈2,例复发经再手术解除鼻窦口堵塞后用刮霉菌素冲洗鼻窦治疗后治愈,随访6个月无复发。结论 CT检查是诊断真菌性鼻-鼻窦炎的有效检查手段,鼻内窥镜下鼻窦开放后联合制霉菌素冲洗鼻窦是治疗真菌性鼻-鼻窦炎的有效方法。

To explore the CT scanning and endoscopic sinus surgery in diagnosis and treatment of fungal rhinosinusitis

Objective To study the pathological and clinicalfeatures of fungal sinusitis and its diagnosis and treatment methods.Methods The clinical symptoms,CT manifestations and treatments of fungal rhinosinusitis was analyzed retrospectively with data from 35 patients in our department between April 2005 and April 2009.All 35 patients were washed opened nasal sinus after endoscopic sinus surgery during a follow-up of 6 months to 2 years,Results among the 35 patients,33 patients had been cured.2 had been healed after re-operation by using nystatin wash nasal sinus with 6 months of follow-up.Conclusion CT scan-ning is useful for the diagnosis of fungal rhinosinusitis.It＇s effective to cure the fungal rhinosinusitis with nystatin nasal sinus wash-outs after endoscopic sinus surgery.