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真菌性鼻窦炎的发病近年有逐渐上升趋势,蝶窦霉菌病的发病率较上颌窦、筛窦霉菌病为低,临床上较少见,易被漏诊、误诊。近年来,CT、MRI在耳鼻喉科的广泛应用提高了对蝶窦霉菌病的认识。鼻内窥镜手术的开展,改变了蝶窦手术的常规路径,并可彻底清除病灶,减少并发症。本人收集了1998年5月～2000年5月的蝶窦霉菌病患者12例,现报道如下。 1 材料和方法 1.1 一般资料 12例患者,男2例,女10例,男女比例为1:5,年龄范围35～76岁,平均年龄为52.6岁,所有患者均无免疫缺陷病史及长期使用广谱抗生素和免疫抑制剂史,所有病例诊
The incidence of fungal sinusitis in recent years, a gradual upward trend, the incidence of sphenoid sinus fungal disease than the maxillary sinus, ethmoid mycosis is low, clinically rare, easily missed diagnosis, misdiagnosis. In recent years, CT, MRI widely used in otolaryngology increased awareness of sphenoid sinus mycosis. Nasal endoscopic surgery to carry out, changing the conventional path of sphenoid sinus surgery, and can completely remove the lesion and reduce complications. I collected from May 1998 to May 2000 12 cases of sphenoid sinus mycosis patients are reported below. 1 Materials and Methods 1.1 General Information 12 patients, 2 males and 10 females, male to female ratio of 1: 5, the age range of 35 to 76 years, mean age was 52.6 years old, all patients without history of immunodeficiency and long-term use of wide History of antibiotics and immunosuppressants, all cases of diagnosis