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对10例慢性霉菌性鼻窦炎行内窥镜手术后局部应用抗霉菌药物氟康唑治疗,9例痊愈,1例加用口服抗霉菌药治愈。随访6个月至4年,仅1例因鼻咽癌放疗于1年后复发,经再次局部应用氟康唑治愈。手术治疗可去除窦腔内病变积存物并改善引流,局部应用氟康唑可抑制或杀灭霉菌,促进病情恢复并减少复发机会。氟康唑局部应用方法简便,毒副作用少,节省开支
10 cases of chronic fungal sinusitis were treated with topical antifungal drug fluconazole after endoscopic surgery, 9 cases were cured and 1 case was treated with oral antimycotic drug. Followed up for 6 months to 4 years, only 1 case of recurrence due to nasopharyngeal carcinoma after radiotherapy in 1 year, by local application of fluconazole cure. Surgery can remove the accumulation of lesions in the sinus cavity and improve drainage, topical application of fluconazole can inhibit or kill mold, promote disease recovery and reduce the chance of recurrence. Topical application of fluconazole method is simple, less side effects, save money