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目的 :探讨内、外科综合治疗手段对变应性真菌性鼻窦炎的治疗作用。方法 :对 31例变应性真菌性鼻窦炎进行了以手术治疗为中心的综合治疗 ,其中鼻内窥镜手术 2 4例 ,柯 -陆氏手术 7例 ,术前后进行抗生素、皮质类固醇激素和抗真菌治疗。结果 :术后均随访 1年以上 ,无手术并发症发生 ,采用鼻内窥镜手术的患者无复发 ,3例采用柯-陆氏手术治疗的患者复发行二次手术后恢复。结论 :本研究表明鼻内窥镜外科手术对变应性真菌性鼻窦炎是一种有效的微创治疗手段 ,手术治疗结合内科用药对变应性真菌性鼻窦炎的控制具有良好的效果
Objective: To explore the treatment of allergic fungal sinusitis by comprehensive internal and surgical treatment. Methods: Thirty-one patients with allergic fungal sinusitis were treated with surgery as the center. Among them, 24 cases of nasal endoscopic surgery and 7 cases of Ke-Lu surgery were performed before and after antibiotics, corticosteroids And anti-fungal treatment. Results: All patients were followed up for more than 1 year without any complications. No recurrence was found in patients undergoing endoscopic sinus surgery. Three patients who underwent surgery with Ke - Lu surgery were recurred after secondary surgery. Conclusion: This study shows that endoscopic sinus surgery for allergic fungal sinusitis is an effective minimally invasive treatment, surgical treatment combined with medical medication for allergic fungal sinusitis has a good effect