孤立性真菌球性蝶窦炎

目的提高对孤立性真菌球性蝶窦炎的认识,以期早期诊治。方法回顾性分析9例孤立性真菌球性蝶窦炎的临床表现、影像学特点、治疗结果和随访情况,并复习相关文献;全部病例在鼻内镜下行蝶窦开放术。结果术后6周术腔逐渐上皮化,术后8～10周可出现清洁、规整的术腔;随访6～14个月,无复发病例。结论孤立性真菌球性蝶窦炎症状无特异性,不易及时确诊;鼻内镜和CT检查能提高术前诊断率,病理学检查可明确诊断;鼻内镜鼻窦手术治疗真菌球性蝶窦炎优势明显。

Isolated sphenoid sinus aspergilloma

OBJECTIVE To improve the early diag- nosis and treatment of the isolated sphenoid sinus aspergilloma(ISSA). METHODS The clinical data of 9 patients with ISSA were retrospectively analyzed. The clinical presentation,radiological feature,treatment and follow up results and the related literatures were reviewed. RESULTS All of t he pat ients were tr eated by nasal endoscopi c sinus surgery and followed up for 6 to 14 months. No recurrence was occurred. CONCLUSION ISSA was difficult to be diag- nosed in early stage because of its non-specific symptoms. The use of nasal endoscope and CT scan makes early preoperative diagnosis possible. The diag- nosis can be definitely confirmed by pathological studies. There is an advantage in management of ISSA with func- tional endoscopic sinus surgery.