Title

真菌性鼻竇炎19例診治體會

Translated Titles

Diagnosis and Treatment of Fungal Sinusitis-A Report of 19 Cases

Authors

李羚(Ling Li);馮益進(Yi-Jing Feng);徐永田(Yong-Tian Xu)

Key Words

鼻竇 ; 真菌病 ; 鼻內鏡檢查 ; 上頜竇根治術 ; Nasal sinuses ; Mycosis ; Endoscopy ; Redical maxillary sinustomy

PublicationName

中國臨床醫學

Volume or Term/Year and Month of Publication

12卷4期(2005 / 08 / 25)

Page #

663 - 664

Content Language

簡體中文

Chinese Abstract

目的:通過回顧分析19例真菌性鼻竇炎的臨床資料,以提高該病的診斷和治療水平。方法:對收治的19例真菌性鼻竇炎患者作鼻竇CT檢查和鼻內鏡檢查,並行相應手術治療。結果:所有病例均為單側鼻竇發病,其中病變單純累及上颌竇者12例、單純累及篩竇者2例、單純累及蝶竇者1例,有3例同時累及上颌竇和篩竇,有1例同時累及上颌竇、篩竇和蝶竇。有15例(78.9%)竇腔軟組織團塊影中可見斑點狀鈣化灶,5例竇腔有不同程度的骨質吸收和破壞。術後隨訪2年,有3例復發。結論:真菌性鼻竇炎好發於上颌竇,多為單側鼻竇發病,CT具有較高的診斷價值,手術具有較好的治療效果。

English Abstract

Objective: To improve the diagnosis and treatment of fungal sinusitis. Methods: Clinical data of 19 patients with fungal sinusitis were reviewed retrospectively. Results: Of 19 patients, the infected sites were all in unilateral nasal sinus. 12 cases presentiod in maxillary sinus, 2 cases presented in ethmoid sinus, 1 case presented in sphenoid sinus, 3 cases involved over two nasal sinuses, and 1 case involved over three nasal sinuses. CT scan showed 15 cases (78.9%) had a calcified area inside in nasal sinus, 5 cases had bone destructive. 3 cases recurrence occurred as followed within 2 years after operation. Conclusion: Fungal sinusitis usually occurred in unilateral nasal sinus, especially in maxillary sinus. CT has very important value for its diagnosis. Surgical management is effective in the treatment of fungal sinusitis.

Topic Category 醫藥衛生 > 醫藥衛生綜合