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目的 :研究上颌窦霉菌病的诊断及治疗原则。方法 :回顾分析了 1 980至 1 999年诊治的 2 3例上颌窦霉菌病的临床资料。结果 :行传统柯—陆氏术式 1 8例 ,内窥镜下上颌窦自然开口扩大术 5例均治愈。结论 :上颌窦霉菌病非侵袭型及曲霉菌瘤型最常见 ,鼻窦 CT是早期发现病变的有效方法 ,治疗可根据条件选择柯—陆氏术式或内窥镜手术 ,关键是解决鼻窦的通气和引流。
Objective: To study the diagnosis and treatment principles of maxillary sinus mycosis. Methods: The clinical data of 23 cases of maxillary sinus mycosis diagnosed and treated from 1 980 to 1 999 were retrospectively analyzed. Results: The traditional Ke - Lu operation of 18 cases, endoscopic maxillofacial natural augmentation in 5 cases were cured. Conclusion: Non-invasive aspergillosis and aspergilloma are the most common types of maxillary sinus mycosis. Sinus CT is an effective method for the early detection of lesions. Treatment can be performed according to the conditions of Ke-Lu operation or endoscopic surgery, the key is to solve the sinus ventilation And drainage.