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目的探讨真菌球型鼻-鼻窦炎的临床特征及鼻内镜手术治疗方式。方法回顾性分析41例真菌球型鼻-鼻窦炎患者的病例资料,其中鼻涕中带血21例次(51.2%),鼻塞16例次(39.0%)。41例患者均在鼻内镜下行鼻窦手术,4例同时行鼻中隔偏曲矫正术,5例同时行尖牙窝穿刺术。结果41例患者术后均随访6个月～3年,其间内镜复查均未发现真菌团块,38例(92.7%)术后5个月术腔完全上皮化,其余3例(7.3%)术后1年术腔完全上皮化。结论单侧鼻塞和(或)鼻涕中带血是真菌球型鼻-鼻窦炎的临床特征表现,鼻内镜手术治疗真菌球型鼻-鼻窦炎是一种安全有效且较理想的方法,可彻底清除病灶、纠正鼻腔结构异常及恢复鼻窦纤毛清除功能。
Objective To investigate the clinical characteristics of fungal ball nasal sinusitis and endoscopic sinus surgery. Methods A retrospective analysis of 41 cases of fungal ball rhinosinusitis patients, including 21 cases of nasal discharge in the nose (51.2%), nasal obstruction in 16 cases (39.0%). All 41 patients underwent endoscopic sinus surgery under nasal endoscopy, 4 underwent correction of nasal septum deviation, and 5 underwent canine puncture. Results All the 41 patients were followed up for 6 months to 3 years. No fungal mass was found during the endoscopy examination. 38 cases (92.7%) had complete epithelialization within 5 months after operation, and the remaining 3 cases (7.3% One year after surgery completely epithelialized. Conclusions Unilateral nasal obstruction and / or nasal discharge in the nose are the clinical features of fungal ball rhinosinusitis. Nasal endoscopic surgery for fungal ball rhinosinusitis is a safe, effective and ideal method, which can completely Clear lesions, correct nasal structure abnormalities and restore nasal ciliary clearance.