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目的探讨手术治疗上颌窦真菌病的疗效。方法回顾性分析4年间65例上颌窦真菌病的手术治疗方法及效果,其中采用上颌窦根治术5例,单纯鼻内镜术38例,鼻内镜下中下鼻道双径路手术16例,鼻内镜下鼻内外双径路手术6例。结果65例中62例一次性治愈未再复发,3例再次手术后也达治愈标准。结论对上颌窦真菌病的手术治疗,鼻内镜下绝大多数可达根治,如妨碍术野可加用下鼻道或鼻外双径路方式,这样既可达到微创的要求,也可达到治愈的效果。
Objective To investigate the efficacy of surgical treatment of maxillary sinus fungal disease. Methods A retrospective analysis of 65 cases of maxillofacial fungal disease in the surgical treatment methods and results, including the use of radical mastectomy in 5 cases, simple endoscopic sinus surgery in 38 cases, endoscopic nasal endoscopic dual-path surgery in 16 cases, Endoscopic nasal endoscopic surgery in 6 cases. Results Of the 65 cases, 62 cases had no recurrence at one time and 3 cases reached the standard of cure again after operation. Conclusion The surgical treatment of maxillary sinus fungal disease, endoscopic most of the up to cure, such as obstruction of the operative field can be added with nasal or nasal double-track way, so that both minimally invasive requirements can be achieved Heal the effect.