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目的:探讨非侵袭性霉菌性鼻窦炎的特点及误诊原因和治疗方法。方法:对18例误诊为鼻肿瘤的非侵袭性霉菌性鼻窦炎的临床资料进行回顾性分析。结果:病理检查示所送组织息肉样伴坏死组织并可见霉菌团块,随访1 a以上,无复发。结论:非侵袭性霉菌性鼻窦炎的特点:单侧发病,回吸性脓涕伴涕血;鼻内镜下见患侧上颌窦口有泥沙样物或黑褐色干酪样物,上颌窦口自然扩大;鼻窦炎CT患侧上颌窦内有斑点或斑块状钙化影,上颌窦内侧壁可有骨质吸收。
Objective: To investigate the characteristics of noninvasive fungal sinusitis and the causes of misdiagnosis and treatment. Methods: The clinical data of 18 cases of noninvasive fungal sinusitis misdiagnosed as nasal neoplasms were analyzed retrospectively. Results: Pathological examination showed that the sentinel tissue with polyp necrosis and visible mold masses, follow-up more than 1 a, no recurrence. Conclusion: The characteristics of non-invasive mycotic sinusitis: unilateral disease, recurrent purulent nasal discharge with nasal discharge; endoscopic sinus see the ipsilateral maxillary sinus mouth sediment or dark brown cheese-like material, maxillary sinus ostia Natural expansion; sinusitis CT ipsilateral maxillary sinus spot or plaque calcification, maxillary sinus medial wall may have bone absorption.