| 鼻内镜手术治疗非侵袭性真菌性鼻窦炎 |
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| 引用本文： | 张健梅,李洁,文姝,彭园园.鼻内镜手术治疗非侵袭性真菌性鼻窦炎[J].中国耳鼻咽喉头颈外科,2011(5):254-256. |
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| 作者姓名： | 张健梅 李洁 文姝 彭园园 |
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| 作者单位： | 武警北京总队医院耳鼻咽喉头颈外科; |
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| 摘 要： | 目的探讨非侵袭性真菌性鼻及鼻窦炎（noninvasive fungal rhino-sinusitis,NIFRS）的临床特点和疗效,加深对这一疾病的认识,提高临床诊疗效果。方法回顾性分析47例NIFRS患者的临床表现、鼻内镜检查和CT扫描的病变特征、以及鼻内镜下手术治疗的效果。结果 47例中大部分为真菌球性真菌性鼻及鼻窦炎（40/47）,7例为变应性真菌性鼻及鼻窦炎,7例鼻窦内均发现典型的变应性黏蛋白蓄积。CT显示NIFRS影像学有特殊表现。47例患者均治愈,随访1～10年,复发率6.4%（3/47）,3例伴糖尿病,经再次治疗后痊愈。结论 NIFRS临床症状不具特异性,鼻内镜检查和CT扫描对诊断有特殊价值,鼻内镜手术疗效确切,术后鼻内镜复查、鼻腔冲洗及药物治疗可有效预防疾病复发。
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| 关 键 词： | 真菌病 鼻窦炎 内窥镜检查 |
Management of non-invasive fungal sinusitis with endoscopic sinus surgery |
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| ZHANG Jianmei,LI Jie,WEN Shu,PENG Yuanyuan.Management of non-invasive fungal sinusitis with endoscopic sinus surgery[J].Chinese Archives of Otolaryngology-Head and Neck Surgery,2011(5):254-256. |
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| Authors: | ZHANG Jianmei LI Jie WEN Shu PENG Yuanyuan |
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| Institution: | ZHANG Jianmei,LI Jie,WEN Shu,PENG Yuanyuan(Department of Otolaryngology Head and Neck Surgery,Armed Police Hospital of Beijing,Beijing,100027,China) |
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| Abstract: | OBJECTIVE To study the clinical features and therapeutic efficacy of non-invasive fungal sinusitis.METHODS The clinical data of 47 patients with non-invasive fungal sinusitis were retrospectively studied.RESULTS Most of the cases were coccic fungal sinusitis(40/47).The other 7 cases were allergic fungal sinusitis(AFS),which had classic allergic mucin accumulation in nasal sinus.Computed tomography showed that coccic fungal sinusitis and AFS had special characters.All the patients underwent endoscopic sinus ... |
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| Keywords: | Mycoses Sinusitis Endoscopy |
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