真菌球型真菌性鼻-鼻窦炎55例临床分析

目的:探讨真菌球型真菌性鼻-鼻窦炎的发病原因、鼻内镜手术方法及临床疗效。方法:回顾性分析55例真菌球型真菌性鼻-鼻窦炎患者的临床资料。结果:全部患者经鼻内镜手术治疗均获临床治愈,无一例出现手术并发症。随访6个月～2年,复发2例。结论:鼻腔、鼻窦局部解剖异常和局部创伤史是真菌球型真菌性鼻-鼻窦炎患者患病的主要原因。鼻内镜手术是治疗真菌球型真菌性鼻-鼻窦炎的有效手段。术后复发与术后是否定期冲洗窦腔有关。

Clinical analysis on 55 cases of paranasal sinus fungus ball

Objective:To explore the etiology of paranasal sinus fungus ball and evaluate the curative effect of endoscopic sinus surgery on paranasal sinus fungus ball.Method:The clinical and follow-up datas of 55 patients with paranasal sinus fungus ball were retrospectively analyzed.Result:All patients were cured by endoscopic sinus surgery,no complications were observed.Following up for 6-48 months,two cases were recurred.Conclusion:Anatomic abnormalities of the paranasal sinuses and wound in the mucosa are the main pathogenesis of paranasal sinus fungus ball.Endoscopic sinus surgery is an effective treatment of paranasal sinus fungus ball.Relapse rate is related with regular irrigation after operation.