【摘要】 目的 分析鼻窦真菌病的临床特征，探讨不同的手术治疗效果。方法 总结鼻窦真菌病9例的临床资料并参考文献。对6例鼻窦真菌病患者进行柯-陆氏手术，3例行鼻内窥镜手术及术后窦腔护理。结果 全部病例术后主要症状消失，经6个月～7年的随访，无复发。结论 鼻窦真菌病主要临床特征是：①单侧鼻窦受累，尤其是上颌窦；②单侧头痛鼻塞、脓血涕或鼻腔干酪样物；③CT检查常见鼻腔鼻窦有软组织块影或钙化斑；④鼻腔鼻窦有阻塞因素存在。柯-陆氏手术是本病的主要治疗选择，而鼻内窥镜手术在清理筛窦或蝶窦病变组织及术后窦腔护理有明显的优点。

    【关键词】 鼻窦炎；真菌病；外科；手术

    Clinical analysis of 9 patients with mycosis of nasal sinus

    WANG Jianhua WANG Yanfei

    People's Hospital of Binzhou City,Binzhou 256610

    【Abstract】 Objective To analyze the clinical character of mycosis of nasal sinus and evaluate the outcome of different nasal operation.Methods 9 cases of mycosis of nasal sinus and reference materia were analysed.6 patients of the nasal fungal sinusitis had accepted Caldwell-Luc operation,3 cases had received functional endoscopes sinus surgery and post-operative nursing care.Results Overall cases were well improved and the main signs disappeared totally.No reccurent case of them following 6 months to 7 years observation.Conclusions The main clinical features of mycosis nasal sinus were:①Single nasal siuns was involved,especially maxillary sinus.②Common symptoms included unilateral headache and nasal obstruction,pus or bloodstain in the nasal discharge and caseous matter in the nasal cavity.③The feature of CT scan was either shadow of soft tissue masses or calcific focus in the involved choice of the nasal fungal diseases.FESS had obvious advantage,such as cleaning of affected tissue in ethmoid sinus or sphenoid sinus with mycosis,postoperative nursing of sinus cavity and so on. ......