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鼻和鼻窦霉菌病的报告逐年有所增加,自1980年至1983年作者等共经治11例,列举了右蝶窦、双上颌窦、左鼻腔3例有代表性患者的诊治经过并作分析。11例中男3例,女8例,年龄在50～77岁。发生于鼻腔者1例,蝶窦者1例,其余均为上颌窦,其中1例为双侧。诊断特点是:X 线相所见以上颌窦内侧壁,特别是上部的密度增高为特点,多数疑有内壁缺损。有4例手术探查时发现自然孔扩大,最大者达10mm。CT 扫描时有2例病侧窦的一部分骨缺损而相对的一边窦壁增厚。确诊是依鼻窦内容物的病理组织学检查出有霉菌块为依据。本组病例经上颌窦开放术5例,上颌窦穿刺冲洗6例,经鼻内筛窦蝶窦开放术1例。治疗预后均良好,未使用抗霉菌药物。
The reports of mycotic diseases of the nose and sinus have increased year by year. From 1980 to 1983, there were 11 cases of common treatment, including the diagnosis and treatment of 3 cases of right sphenoid sinus, double maxillary sinus and left nasal cavity . 11 cases of male 3 cases, 8 females, aged 50 to 77 years. One case occurred in the nasal cavity, sphenoid sinus in 1 case, the rest are maxillary sinus, of which 1 case was bilateral. Diagnosis is characterized by: X-ray phase to see the maxillary sinus medial wall, especially the upper part of the increased density, most suspected inner wall defects. 4 cases of surgical exploration found that natural holes to expand, the largest of up to 10mm. In CT scan, there were 2 cases of bone defect in the side of the sinuses and thickening of the sinus wall on the opposite side. Confirmation is based on the histopathological examination of the contents of the sinus sinus mold based on a. This group of patients by maxillary sinus open surgery in 5 cases, maxillary sinus puncture in 6 cases, intranasal ethmoid sinus open in 1 case. Treatment prognosis are good, did not use anti-fungal drugs.