真菌球型鼻窦炎临床分析及术后生活质量调查

ObjectiveTo analyze the clinic characteristics of fungus ball sinusitis, and to observe improvement of quality of life (QOL) in patients after endoscopic sinus surgery.MethodsClinic characteristics of fungus ball sinusitis were investigated via retrospective analysis on clinical data of patients with this disease hospitalized in our department from June 2009 to June 2013. Postoperative QOL survey was performed on data of 38 cases hospitalized from Jan. 2013 to June 2013 at the 6th month after surgery by SNOT 20 and VSA scale.ResultsThe rates of male and female were 30.1% and 69.9% respectively, with the onset age of 54.08±13.86 years. This disease occurred in unilateral maxillary sinus in 85.6%. Of all the patients, 15% suffered from diabetes, which was significantly higher than that of domestic adults (P<0.05). Postoperative QOL survey showed that the scores of SNOT 20 and VSA scale were significantly lessened (P<0.01).ConclusionsFungus ball sinusitis mainly afflicts middle and old female patients, and usually involves single maxillary sinus. Diabetes is one of the risk factors. Endoscopic sinus surgery can improve patients’ QOL significantly.

Clinic analysis of fungus ball sinusitis and a survey of the postoperative quality of life