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鼻窦的霉菌性感染由于不同的病理、生理过程可以表现出不同的类型 ,其诊断、预后尤其是治疗也各不相同。霉菌性鼻窦炎完整的诊断除术前常规的病史、体检及影像学检查外 ,还应包括术中对患病局部组织形态学了解 ,组织病理学检查 ,微生物学检查 ,血清学检查等。不同类型的霉菌性鼻窦炎治疗原则也有很大的区别 ,霉菌球性者完全靠手术治疗 ,而变态反应性和慢性侵袭性霉菌性鼻窦炎除手术治疗外 ,则应分别配合全身及局部的皮质激素治疗及抗霉菌药物治疗 ,急性爆发性霉菌性鼻窦炎的治疗则首先在治疗全身原发疾病的基础上应用抗霉菌药物 ,局部组织的清创或扩大范围的手术亦是非常重要的。
Sinus mycotic infection due to different pathologies, physiological processes can show different types, the diagnosis, prognosis, especially the treatment is also different. Fungal sinusitis complete diagnosis in addition to preoperative routine medical history, physical examination and imaging studies, should also include intraoperative understanding of the local histopathology, histopathology, microbiology, serology and so on. Different types of mycotic sinusitis treatment principles are also very different, mycotoxin completely rely on surgery, and allergic and chronic invasive fungal sinusitis in addition to surgical treatment, should be combined with systemic and local cortical Hormone therapy and anti-fungal drug therapy, acute explosive fungal sinusitis treatment is the first in the treatment of primary disease based on the application of anti-fungal drugs, local tissue debridement or extended range of surgery is also very important.