变应性真菌性鼻窦炎的诊断和治疗

Diagnosis and management of allergic fungal rhinosinusitis

摘要:

目的探讨变应性真菌性鼻窦炎（AFRS）的临床病理特点、治疗方法及预后。方法回顾性分析54例AFRS患者的临床资料。全部患者均接受以鼻内镜为主的综合治疗。结果术后随访6个月至6年，51例患者病情完全控制；3例患者术后1年复发，经再次手术和综合治疗，全部治愈，随访2~5年，未见复发。结论手术治疗是该病最有效的治疗方法，术后辅以糖皮质激素治疗以减少术后复发。综合治疗和术后定期随访是治疗成功的关键。

Abstract:

ObjectiveTo evaluate the effect of endoscopic sinus surgery combined with postoperative nasal irrigation on the symptoms improvement and prognosis for patients with allergic fungal rhinosinusitis (AFRS).MethodsClinical data of 54 patients with AFRS endoscopically treated in our hospital were analyzed retrospectively.ResultsAll patients had been followed up for 6 months to 6 years after operation. Among them, 51 cases were cured and 3 got relapsed. All the 3 relapsed cases received reoperation combined with comprehensive treatment and no recurrence occurred after following up for 2 to 5 years.ConclusionsSurgical treatment is the most effective therapy of AFRS. Glucocorticoid should be used to reduce postoperative recurrence. Comprehensive treatment and regular postoperative followup are the key points for success.