非侵袭型鼻窦真菌病42例临床分析

目的：探讨非侵袭型鼻窦真菌病的临床特征、诊断和治疗。方法:回顾性分析我科近8年来采用鼻内窥镜术治疗的42例的临床资料。结果:42例均治愈。术后定期在鼻内镜下换药，38例术腔黏膜轻度水肿，窦口通畅，窦内未见菌团；4例术后初期见上颌窦内有较多干酪样物，经用1% H2O2及生理盐水多次冲洗换药后，出院时术腔干净。40例随访6个月～5年未见复发,2例失访。结论：采用鼻内窥镜手术治疗非侵袭型鼻窦真菌病较传统的柯-陆手术创伤小、照明好、清除病灶准确；不损害鼻腔正常生理功能；保证鼻窦通气引流，减少复发，治愈率高。

Non-invasive nasal sinus mycoses:a clinical analysis of 42 cases

Objective： To explore the clinical features，diagnosis and treatment of non invasive nasal sinus mycoses. Methods： Forty two cases of nasal sinus mycoses were retrospectively analyzed. All had undergone an endoscopic operation. Results: After the operations, all cases got a regular check up with an endoscope. Thirty eight cases quickly recovered. The other four had cheese like matter in their maxillary sinus in the initial stage. The wound was washed several times with 1% H2O2 and 0.9% NaCl solution after the operation, and after that, the surgical cavity became clear. Forty cases were followed up for 6 months to 5 years and no recurrence occurred. The other two were not followed up. Conclusion: With endoscopic sinus surgery, surgeons can get better illumination and as many as possible functions of the nasal cavity and sinus can be preserved.