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目的:评价鼻内镜手术在治疗非侵袭性真菌性鼻-鼻窦炎的疗效。方法:采用Storz鼻内镜对72例非侵袭性真菌性鼻-鼻窦炎病例行鼻内镜手术,彻底清除鼻腔、鼻窦病变组织,充分开放鼻窦,扩大上颌窦自然口,使其直径达1.0cm以上,术后应用大扶康冲洗术腔3次。结果:随访6个月~6年,全部病例均治愈,无复发。术前症状如鼻塞、流脓涕、血涕、鼻腔异味及头痛症状消失,经鼻内镜检查:全部病例中鼻道、上颌窦口通畅,鼻腔及窦腔内黏膜正常,腔内无真菌团块及异常分泌物。结论:鼻内镜手术是治疗非侵袭性真菌性鼻-鼻窦炎的主要手段,辅以大扶康液冲洗术腔,疗效更好。
Objective: To evaluate the efficacy of endoscopic sinus surgery in the treatment of non-invasive fungal rhinosinusitis. Methods: Storz endoscopic sinus surgery in 72 cases of non-invasive fungal rhinosinusitis cases endoscopic surgery, complete removal of nasal cavity, sinus lesions, the full opening of the nasal sinus, expanding the natural maxillary sinus mouth, the diameter of 1.0cm Above, after the application of Fluoride flushing cavity 3 times. Results: All patients were followed up for 6 months to 6 years. All cases were cured without recurrence. Preoperative symptoms such as nasal congestion, purulent nasal discharge, nasal discharge, nasal odor and headache symptoms disappear, endoscopic examination: all cases of the nasal passages, maxillary sinus patency, nasal cavity and sinus mucosa normal, no fungal lumps Block and abnormal secretions. Conclusion: Endoscopic sinus surgery is the main treatment for noninvasive fungal rhinosinusitis, which is facilitated by flushing the surgical cavity with Dayofukang fluid.