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目的:探讨鼻腔、鼻窦真菌病的临床特征、诊断和治疗。方法:根据病变范围和程度采用不同术式,非侵袭型采用上颌窦根治术或鼻窦内窥镜术,侵袭型采用扩大范围的鼻窦根治术,术后辅以抗真菌药治疗。结果:非侵袭型26例,其中25例经不同术式一次治愈;侵袭型9例,其中7例经不同术式一次治愈,1例虽经4次手术,终因病变广泛未能有效控制,5个月后死亡。结论:①CT对该类疾病的诊断有重要价值,病理学检查是确诊的依据。②手术是根本的治疗手段,无论哪种类型,均须彻底清除病灶,充分开放受累的鼻窦,对病变广泛的侵袭型还须扩大手术切除范围。
Objective: To investigate the clinical features, diagnosis and treatment of nasal and sinus fungal diseases. Methods: According to the extent and extent of the disease, different surgical procedures were used. Non-invasive type was maxillary sinus or endoscopic sinus surgery. Invasive type was extended radical sinus surgery. Postoperative anti-fungal medicine was used. Results: Noninvasive type 26 cases, of which 25 cases were cured by different surgical procedures; 9 cases of invasive type, of which 7 cases were cured by different surgical procedures, although one case after 4 surgeries, the end result of extensive extensive failure to effectively control, 5 months after death. Conclusion: ①CT is of great value in the diagnosis of these diseases, and pathological examination is the basis of diagnosis. ② surgery is the fundamental treatment, regardless of the type, must be completely clear the lesion, the full opening of the affected sinus, a wide range of invasive lesions also need to expand the scope of surgical resection.