真菌性鼻-鼻窦炎研究进展

近年来真菌性鼻-鼻窦炎在临床上日益多见，其病原菌、临床表现、诊断以及治疗均与传统的鼻-鼻窦炎有所不同。不同类型的真菌性鼻-鼻窦炎由于致病的病原菌不同，在临床表现、诊断、治疗以及预后方面有各自的特点，如非侵袭性真菌性鼻-鼻窦炎的治疗以手术为主，而侵袭性真菌性鼻-鼻窦炎除手术外，还需在治疗全身原发疾病基础上全身使用抗真菌药物。本文就各类真菌性鼻-鼻窦炎的病因、临床表现、诊断、治疗及预后等方面做一综述。

Research development of fungal rhinosinusitis

Fungal rhinosinusitis is common in clinical practice recently, which varies from other kind of rhinosinusitis in clinical presentation, diagnosis, treatment and histological appearances. It is classiifed as either non-invasive or invasive fungal rhinosinusitis. Invasive fungal rhinosinusitis should be treated by surgical debridement and systemic antifungal therapy, while the mainstay of treatment of the other one remains thorough surgical extirpation. In this paper, different etiology, pathology, clinical presentation, CT/MRI ifndings, diagnosis, treatment and prognosis of each type of fungal rhinosinusitis were reviewed.