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目的:探讨非侵袭性真菌性鼻-鼻窦炎的致病原因、临床特征、鼻内镜手术方法及临床疗效。方法:对2003-01-2006-12的59例非侵袭性真菌性鼻-鼻窦炎的临床资料进行回顾性分析。结果:全部病例随访2~5年,无一例并发症,57例一次性治愈,复发2例,经再次手术后治愈。结论:鼻内镜手术清除病灶是治疗非侵袭性真菌性鼻-鼻窦炎的最有效方法,手术中应尽量扩大鼻窦的自然开口,手术后定期冲洗窦腔及定期复查可防止疾病的复发。
Objective: To investigate the etiological factors, clinical characteristics, endoscopic sinus surgery and clinical efficacy of non-invasive fungal rhinosinusitis. Methods: The clinical data of 59 cases of noninvasive fungal rhinosinusitis from January 2003 to December 2006 were analyzed retrospectively. Results: All the cases were followed up for 2 to 5 years without any complications. 57 cases were cured at one time and 2 cases were relapsed. The patients were cured after reoperation. Conclusion: Nasal endoscopic surgery is the most effective method to treat noninvasive fungal rhinosinusitis. The natural opening of the sinus should be enlarged as far as possible. Routine irrigation of the sinus cavity after regular operation and regular review can prevent the recurrence of the disease.