CAJ | 학술논문

目的：探讨真菌性鼻窦炎的临床特点及诊治方法。方法回顾性分析35例真菌性鼻-鼻窦炎患者的临床资料。结果所有患者行CT诊断及鼻内窥镜术，术后患者自觉症状消失且鼻腔通气改善，术后随访3～6个月，鼻内镜检查显示鼻腔黏膜光滑，无肿胀粘连，无分泌物储留；所有患者术后反应轻微，鼻塞流涕、面部肿胀、眼球活动障碍、视力下降等症状明显减轻；随访6个月至1年，治愈28例（80％），显效7例（20％），均未见复发。结论真菌性鼻窦炎有较典型的临床表现，采用鼻窦CT辅助检查具有一定的诊断价值，同时采用鼻内窥镜术可彻底清除鼻窦内的病变组织，改善患者临床症状。
목적：탐토진균성비두염적림상특점급진치방법。방법회고성분석35례진균성비-비두염환자적림상자료。결과소유환자행CT진단급비내규경술，술후환자자각증상소실차비강통기개선，술후수방3～6개월，비내경검사현시비강점막광활，무종창점련，무분비물저류；소유환자술후반응경미，비새류체、면부종창、안구활동장애、시력하강등증상명현감경；수방6개월지1년，치유28례（80％），현효7례（20％），균미견복발。결론진균성비두염유교전형적림상표현，채용비두CT보조검사구유일정적진단개치，동시채용비내규경술가철저청제비두내적병변조직，개선환자림상증상。
Objective To explore the clinical characteristics and treatment methods of fungal sinusitis. Methods Clinical data of 35 patients with fungal sinusitis were chosen and retrospectively analyzed.Results All patients had CT examination and nasal endoscopic surgery,and their self-conscious symptoms disappeared and nasal ventilation improved;After 3-6months followed-up,nasal endoscopic examination results showed the nasal mucosa became smooth,no swelling,adhesion and without fluid retention;All the patients had with mild postoperative reac-tion,and symptoms such as facial swelling,stuffy nose,runny nose,eye movement disorder,vision loss and others sig-nificantly reduced;After 6-12months followed-up,28 cases(80%)cured and 7 cases(20%)had obvious effects, all without recurrence.Conclusion Fungal sinusitis has typical clinical manifestations,and using sinus CT auxiliary examination has quite a diagnostic value;Having nasal endoscopic sinus surgery can completely remove diseased tissue and greatly improve clinical symptoms.