非侵袭性真菌性鼻-鼻窦炎的鼻内镜治疗

摘要

Fungal rhino-sinusitis is the common clinical disease in otorhinolaryngology, and its inci-dence increased year by year. Based on the fungus′s immunity function condition and the different pathology change of the patient,fungal rhino-sinusitis is divided into two types:invasive and noninvasive fungal rhino-sinusitis. Noninvasive fungal rhino-sinusitis is the most common clinical disease,and functional endonasal si-nus surgery is the major treatment for it. Endoscopic sinus surgery can have a better clinical effect,shorter op-eration time and less invasive can in treatment of fungal sinusitis than Caldwell-Luc surgery and can be popu-larized. To popularize the use of functional endonasal sinus surgery for noninvasive fungal rhino-sinusitis,this article summarized the clinical characteristics of noninvasive fungal rhino-sinusitis and discussed the method, curative effect and precaution of functional endonasal sinus surgery for noninvasive fungal rhino-sinusitis.%真菌性鼻-鼻窦炎是耳鼻喉临床常见疾病，其发病率逐年增高，依据病理特征和患者的免疫功能状态分为侵袭性和非侵袭性。临床上以非侵袭性真菌性鼻-鼻窦炎最为常见，其主要治疗方法为鼻内镜手术。与传统手术相比，鼻内镜术治疗非侵袭性真菌性鼻窦炎临床疗效好，手术时间短，创伤较小，在临床上具有推广意义。为了推广非侵袭性真菌性鼻窦炎的鼻内镜治疗，该文结合非侵袭性真菌性鼻-鼻窦炎的临床特征，就非侵袭性真菌性鼻-鼻窦炎的鼻内镜治疗的手术方法、疗效及常见并发症予以综述。