鼻窦曲霉病并不少见,澳大利亚 Graz 大学临床耳鼻喉科自1976～1982年曾报道82例,其诊断不但需作粘膜病理检查,还应对上颌窦内腐烂的沉积物进行分析,才能避免误诊。在鼻窦平片或断层片中常见腔内密度增生阴影,若有外伤史者往往误诊为金属或不透光异物。这类病例大半无症状,可在偶然检查中发现。曲霉菌的孢子可混入灰尘中吸入鼻腔和鼻窦,当宿主患糖尿病、机体抵抗力降低或免疫缺陷和患恶性肿瘤时乃致发病。本病开始临床症状不典型,一般为慢性、进行性重度上颌窦炎,症状可持续数个月乃至数年,虽作反复上颌窦冲洗,症状也不能恢复。上 Aspergillosis is not uncommon. The clinical otolaryngology department at Graz University in Australia reported 82 cases from 1976 to 1982, and its diagnosis not only required mucosal biopsy, but also analysis of decayed sediments in the maxillary sinus to avoid misdiagnosis. Sinus plain or in the common intracranial hyperplasia shadow, if history of trauma are often misdiagnosed as metal or opaque foreign body. Most of these cases are asymptomatic, can be found in accidental inspection. Aspergillus spores can be mixed into the dust inhaled nasal and sinus, when the host is suffering from diabetes, reduce the body’s immune system or immunodeficiency and malignant tumor is caused by disease. The onset of clinical symptoms of atypical, usually chronic, progressive severe maxillary sinusitis, symptoms can last for months or even years, although repeated maxillary sinus rinse, the symptoms can not be restored. on