| 真菌性上颌窦炎37例临床分析 |
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| 引用本文： | 陈乐. 真菌性上颌窦炎37例临床分析[J]. 中国医药导报, 2007, 4(36): 55-56 |
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| 作者姓名： | 陈乐 |
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| 作者单位： | 广东省阳江市第三人民医院耳鼻喉科,广东阳江,529500 |
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| 摘 要： | 目的:探讨真菌性上颌窦炎的诊断及治疗方法。方法:总结分析37例真菌性上颌窦炎的临床表现、病理学检查及治疗效果。结果:37例主要临床症状有鼻塞、流清涕伴头痛,涕中带血并有腥臭味或排出带有腥臭味的豆腐渣样碎屑团块;CT表现为上颌窦内不均匀性软组织密度影,伴不同程度的积液并常伴有沙粒状、小条片状、团块状的钙化;病变组织为大小不等灰白色、灰黄色、灰绿色、黑褐色干酪样团块状物或泥沙样物,伴出血、坏死。本组采用柯-陆式手术,术后冲洗随访8个月～3年,均无复发。结论:侵袭性真菌性上颌窦炎早期以最终病理诊断为依据,治疗以鼻窦清创术联合抗菌药物为主。
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| 关 键 词： | 真菌 上颌窦炎 柯-陆手术 诊断及治疗 |
| 文章编号： | 1673-7210(2007)12(c)-055-02 |
| 修稿时间： | 2007-09-10 |
The clinical analysis of fungal rhino-sinusitis of 37 cases |
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| CHEN Le. The clinical analysis of fungal rhino-sinusitis of 37 cases[J]. China Medical Herald, 2007, 4(36): 55-56 |
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| Authors: | CHEN Le |
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| Abstract: | Objective:To investigate the diagnosis and treatment of the fungal rhino-sinusitis. Methods:37 cases of fungal rhino-sinusitis were analyzed by clinical manifestation, pathology and therapeutic effect. Results:The main clinical symptoms has nasal obstruction, nasal discharge accompanied with headache, nasal discharge accompanied with blood or little bits which liked tofukasu accompanied smell of fish;CT revealed that the soft tissue opacity with heterogeneous density in maxillary sinuses, accompanied with with sand-like, streaked or globular calcification;All the patients were performed Caldwell-Luc operation. Conclusion:The final diagnosis of fungal rhino-sinusitis is according to pathology. The method of treatment is that debridement of accessory nasal cavity, combined with antibacterials. |
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| Keywords: | Fungal Sinusitis Caldwell-Luc operation Treatment and diagnosis |
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