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目的:探讨真菌性鼻窦炎经鼻内镜手术治疗的方法及疗效。方法:选取60例真菌性鼻窦炎患者采用鼻内镜下手术治疗,彻底清除病灶,充分开放引流,术后抗真菌药反复冲洗鼻腔,对其临床疗效进行观察和随访。结果:对60例患者随访3个月～2年,除1例复发外其余全部治愈无复发。结论:采用鼻内镜手术治疗真菌性鼻窦炎创伤小,不损害鼻腔正常生理功能,便于术后复查和随访,治愈率高且复发率低,是治疗该病较为理想的方法。
Objective: To explore the method and efficacy of endoscopic sinus surgery for fungal sinusitis. Methods: Sixty patients with fungal sinusitis were treated by endoscopic sinus surgery. The lesions were completely removed and the nasopharynx was repeatedly irrigated with antifungal drugs after operation. The clinical curative effect was observed and followed up. Results: Sixty patients were followed up for 3 months to 2 years. Except for 1 case of recurrence, all the other cases were cured without recurrence. Conclusions: It is an ideal method for the treatment of fungal sinusitis by nasal endoscopic surgery for traumatic small wounds, does not damage the normal physiological function of the nasal cavity, convenient for postoperative follow-up and follow-up, with high cure rate and low recurrence rate.