真菌性鼻窦炎19例诊治体会

目的:通过回顾分析19例真菌性鼻窦炎的临床资料,以提高该病的诊断和治疗水平。方法;对收治的19例真菌性鼻窦炎患者作鼻窦CT检查和鼻内镜检查,并行相应手术治疗。结果:所有病例均为单侧鼻窦发病,其中病变单纯累及上颌窦者12例、单纯累及筛窦者2例、单纯累及蝶窦者1例,有3例同时累及上颌窦和筛窦,有1例同时累及上颌窦、筛窦和蝶窦。有15例(78.9%)窦腔软组织团块影中可见斑点状钙化灶,5例窦腔有不同程度的骨质吸收和破坏。术后随访2年,有3例复发。结论:真菌性鼻窦炎好发于上颌窦,多为单侧鼻窦发病,CT具有较高的诊断价值,手术具有较好的治疗效果。

Diagnosis and Treatinent of Fungal Sinusitis--a Report of 19 Cases

Objective: To improve the diagnosis and treatment of fungal sinusitis. Methods:Clinical data of 19 patients with fungal sinusitis were reviewed retrospectively. Results: Of 19 patients, the infected sites were all in unilateral nasal sinus. 12 cases presentiod in maxillary sinus, 2 cases presented in ethmoid sinus, 1 case presented in sphenoid sinus, 3 cases involved over two nasal sinuses, and 1 case involved over three nasal sinuses. CT scan showed 15 cases (78.9%) had a calcified area inside in nasal sinus, 5 cases had bone destructive. 3 cases recurrence occurred as followed within 2 years after operation. Conclusion:Fungal sinusitis usually occurred in unilateral nasal sinus, especially in maxillary sinus. CT has very important value for its diagnosis. Surgical management is effective in the treatment of fungal sinusitis.