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目的 为了深入研究耳鼻咽喉真菌病的诊断及治疗。方法 对2004年1月至2010年1月我院所治疗的198例病人进行了详细分析,既有单纯真菌感染的病例也有合并存在的病例。所有患者均采用综合诊断的方法进行确诊,主要包括:培养真菌、用活检以及影像学手段对病变组织的病理进行检查等。在治疗方面,先进行局部清洁,为了保障引流通畅,对肉芽及分泌物进行清除,最后进行了药物治疗及手术治疗。结果 在统计的198例患者中,鼻及鼻窦真菌感染的患者152例,喉部出现真菌感染的患者30例,咽部出现真菌感染的患者1例,耳部出现真菌感染的患者15例。结论 真菌感染造成的危害还是很严重的,在真菌感染的诊断和治疗方面,需及时的采取措施。最好的减少漏诊与误诊的方法是对真菌反复多次的进行培养。
Objective To further study the diagnosis and treatment of otorhinolaryngology fungal disease. Methods A total of 198 patients treated in our institute from January 2004 to January 2010 were analyzed in detail. There were both simple fungal infection cases and combined cases. All patients were diagnosed by comprehensive diagnosis methods, including: culture of fungi, biopsy and imaging methods to check the pathological lesions. In the treatment, the first local cleaning, in order to ensure smooth drainage, removal of granulation and secretions, the last drug treatment and surgical treatment. Results Of the 198 patients enrolled, 152 were infected with fungi with nasal and nasal passages, 30 with fungal infection in the throat, 1 with fungal infection in the pharynx, and 15 with fungal infection in the ear. Conclusion The harm caused by fungal infection is still very serious. In the diagnosis and treatment of fungal infections, measures need to be taken promptly. The best way to reduce misdiagnosis and misdiagnosis is to culture the fungus repeatedly and repeatedly.