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目的观察分析真菌性鼻-鼻窦炎的临床特征和鼻内镜手术治疗效果。方法对2005年-2010年172例住院行鼻内镜手术治疗的真菌性鼻-鼻窦炎患者的临床资料进行回顾性分析。结果 172例手术后随访1到6年,15例失随访,5例1年后复发再次手术治愈,其余均一次手术治愈,无严重并发症发生。结论真菌性鼻-鼻窦炎发病以中年女性痰中带血为主诉多见,应与鼻咽癌、鼻腔恶性肿瘤进行鉴别诊断。CT扫描发现鼻窦钙化点团块状阴影有助于诊断。鼻内镜手术治疗真菌性鼻-鼻窦炎是有效方法。
Objective To observe the clinical characteristics of fungal rhinosinusitis and endoscopic sinus surgery. Methods The clinical data of 172 patients with fungal rhinosinusitis treated by endoscopic sinus surgery in our hospital from 2005 to 2010 were analyzed retrospectively. Results One hundred and seventy-two cases were followed up for 1-6 years, 15 cases were lost to follow-up, and 5 cases were relapsed after 1 year. The other cases were cured by one operation and no serious complication occurred. Conclusions Fungal rhinosinusitis is the main complaint of bloody sputum in middle-aged women. It should be differentiated from nasopharyngeal carcinoma and nasal cavity malignant tumors. CT scan found that calcification of the sinuses block massive shadow helps diagnosis. Endoscopic surgery for fungal rhinosinusitis is an effective method.