CAJ | 학술논문

目的:探讨内、外科综合治疗手段对变应性真菌性鼻窦炎的治疗作用.方法:对31例变应性真菌性鼻窦炎进行了以手术治疗为中心的综合治疗,其中鼻内窥镜手术24例,柯-陆氏手术7例,术前后进行抗生素、皮质类固醇激素和抗真菌治疗.结果:术后均随访1年以上,无手术并发症发生,采用鼻内窥镜手术的患者无复发,3例采用柯-陆氏手术治疗的患者复发行二次手术后恢复.结论:本研究表明鼻内窥镜外科手术对变应性真菌性鼻窦炎是一种有效的微创治疗手段,手术治疗结合内科用药对变应性真菌性鼻窦炎的控制具有良好的效果.
목적:탐토내、외과종합치료수단대변응성진균성비두염적치료작용.방법:대31례변응성진균성비두염진행료이수술치료위중심적종합치료,기중비내규경수술24례,가-륙씨수술7례,술전후진행항생소、피질류고순격소화항진균치료.결과:술후균수방1년이상,무수술병발증발생,채용비내규경수술적환자무복발,3례채용가-륙씨수술치료적환자복발행이차수술후회복.결론:본연구표명비내규경외과수술대변응성진균성비두염시일충유효적미창치료수단,수술치료결합내과용약대변응성진균성비두염적공제구유량호적효과.
Objective: To evaluate the effects of different surgical procedures on allergic fungal sinusitis.Methods: Thirty- one patients with allergic fungal sinusitis under endoscopic sinus surgery(24 cases) and Caldwell-Luc operation(7 cases) after medical treatment were investigated. Results: No complication was observed during one year's follow-up. No patient who conducted endoscopic sinus surgery reacurred and 3 patients who received traditional surgery required a second operation. Conclusion: This confirmed endoscopic sinus surgery provided a mini- traumatic and effective treatment. Combined treatment of surgical and medical ways was useful to the development of allergic fungal sinusitis.