CAJ | 학술논문

目的：探讨鼻内镜手术治疗非侵袭性真菌性鼻窦炎的临床疗效。方法选取2010年2月～2013年1月我院收治的38例非侵袭性真菌性鼻窦炎患者作为研究对象，分析治疗前后患者的VAS评分及Lund-Kennedy评分，观察手术疗效及术后并发症情况。结果治疗前VAS为（5.76±1.13）分，Lund-Kennedy为（7.82±2.30）分；治疗后1个月VAS为（4.24±1.06）分，Lund-Kennedy为（4.36±2.03）分；随访结束时VAS为（2.21±0.87）分，Lund-Kennedy为（1.49±1.38）分。治疗后1个月及随访结束时两种量化评分与治疗前对比，P＜0.05，差异具有统计学意义。随访结束时两种量化评分低于治疗后1个月， P＜0.05，差异具有统计学意义。38例患者术后治愈36例（94.7%），好转1例（2.6%），无效1例（2.6%），治愈率为94.7%，有效率为97.4%。38例患者均未出现脑脊液鼻漏、鼻泪管阻塞等并发症，腔内未见脓状分泌物及真菌团块，鼻塞、脓涕、涕中带血、头痛等症状均消失。结论采用鼻内镜手术治疗非侵袭性真菌性鼻窦炎疗效显著，可有效避免术后复发。
목적：탐토비내경수술치료비침습성진균성비두염적림상료효。방법선취2010년2월～2013년1월아원수치적38례비침습성진균성비두염환자작위연구대상，분석치료전후환자적VAS평분급Lund-Kennedy평분，관찰수술료효급술후병발증정황。결과치료전VAS위（5.76±1.13）분，Lund-Kennedy위（7.82±2.30）분；치료후1개월VAS위（4.24±1.06）분，Lund-Kennedy위（4.36±2.03）분；수방결속시VAS위（2.21±0.87）분，Lund-Kennedy위（1.49±1.38）분。치료후1개월급수방결속시량충양화평분여치료전대비，P＜0.05，차이구유통계학의의。수방결속시량충양화평분저우치료후1개월， P＜0.05，차이구유통계학의의。38례환자술후치유36례（94.7%），호전1례（2.6%），무효1례（2.6%），치유솔위94.7%，유효솔위97.4%。38례환자균미출현뇌척액비루、비루관조새등병발증，강내미견농상분비물급진균단괴，비새、농체、체중대혈、두통등증상균소실。결론채용비내경수술치료비침습성진균성비두염료효현저，가유효피면술후복발。
Objective To explore the clinical effect of endoscopic sinus surgery for noninvasive fungal sinusitis. Methods Selected 38 cases of non-invasive fungal sinusitis from February 2010 to January 2013 in our hospital as the research object, analysis before and after the treatment of nasal obstruction, purulent nasal discharge, nasal discharge with blood, headache and other symptoms disappeared. Results In the treatment of vas (5.76±1.13), Lund Kennedy for (7.82±2.30), treatment after 1 month, the VAS for (4.24±1.06) and Lund Kennedy as (4.36±2.03), at the end of follow-up VAS (2.21±0.87) and Lund Kennedy as (1.49±1.38). After 1 months of treatment and the end of follow-up, two kinds of quantitative score compared with the treatment before, P<0.05, the difference was statistically significant. At the end of the follow-up, the two quantitative scores were lower than the 1 months after treatment, P<0.05, had difference statistically significance. 38 patients were cured in 36 cases (94.7%), 1 cases (2.6%), 1 cases (2.6%), the cure rate was 94.7%, the effective rate was 97.4%. 38 cases of cerebrospinal rhinorrhea, nasolacrimal duct obstruction and other complications were not seen in patients, the cavity no purulent secretions and fungal mass, nasal obstruction, purulent nasal discharge, nasal discharge with blood, had a headache wait for a symptom disappeared. Conclusion Endoscopic sinus surgery is effective in the treatment of non-invasive fungal sinusitis, and can effectively prevent postoperative recurrence.