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目的:探讨内、外科综合治疗方法对变应性真菌性鼻窦炎的治疗作用。方法:分析我院2015年6月—2016年6月确诊的25例变应性真菌性鼻窦炎的临床表现、CT扫描结果、血清检测、术后病理结果以及鼻内镜手术治疗效果。结果:变应性真菌性鼻窦炎患者临床表现不典型,CT有特异性表现,病理切片可见嗜酸性黏蛋白,25例患者中有6例复发,再次治疗后无复发。25例患者治愈率96%。结论:诊断变应性真菌性鼻窦炎主要依据病史、CT表现、病理学检测。手术+类固醇药物+免疫治疗的综合治疗是提供本病长期得到控制的最佳有效方案。
Objective: To investigate the therapeutic effect of combined internal and external surgical treatment on allergic fungal sinusitis. Methods: The clinical manifestations, CT scan results, serum tests, postoperative pathological findings and endoscopic surgical treatment of 25 patients with allergic fungal sinusitis diagnosed in our hospital from June 2015 to June 2016 were analyzed. Results: The clinical manifestations of patients with allergic fungal sinusitis are not typical, CT has a specific performance, histopathological eosinophilic, 6 of 25 patients relapsed, no recurrence after treatment. 25 cases of cure rate of 96%. Conclusion: The diagnosis of allergic fungal sinusitis mainly based on history, CT findings, pathological examination. Comprehensive treatment of surgery + steroid drugs + immunotherapy is to provide the best long-term control of the disease is the most effective program.