简介：　　 [摘要 ] 目的 探讨并分析真菌性鼻鼻窦炎发病的相关因素及对其临床特征。方法 此次研究的对象是选取该院耳鼻喉科患有鼻窦炎患者 128例，将其临床资料进行回顾性分析，并依据患者闭眼类型分为观察组（真菌性鼻鼻窦炎）和（慢性鼻鼻窦炎）对照组每组 64例，对两组患者临床资料进行回顾性分析，观察组发病的相关因素和临床特征等采用 Logistic回归分析。结果 年龄、病程、头痛、斑钙化、涕血、鼻腔侧面病变是导致患者真菌性鼻鼻窦炎发病的主要因素。观察组鼻塞、流涕、脓性引流物、下鼻甲肿大明显对照组，差异有统计学意义（ P<0.05），观察组涕血发生率显著高于对照组，差异有统计学意义（ P<0.05）；真菌性鼻鼻窦炎在上颌窦发生钙化斑均显著高于蝶窦患者。钙化斑在上颌窦的发生率与在蝶窦及颌窦的发生部位相比较。差异有统计学意义（ P<0.05）。 结论 真菌性鼻鼻窦炎发病的临床特征明显且 CT诊断特异性强，可作为真菌性鼻鼻窦炎发病的重要诊断依据。  　　 [关键词 ] 真菌性鼻鼻窦炎；临床特征；慢性鼻鼻窦炎  [Abstract] Objective To investigate and analyze the related factors and clinical characteristics of fungal rhinosinusitis. The object of this research method is to choose the Department of ENT in our hospital 128 cases with sinusitis patients, retrospective analysis, and based on the closed type patients were divided into observation group (fungal rhinosinusitis) (chronic rhinosinusitis) and the control group with 64 cases in each group, the two groups of patients with clinical data were retrospectively analyzed, observation related factors and clinical characteristics of patients with Logistic regression analysis. Results age, course of disease, headache, plaque calcification, nasal bleeding and lateral nasal cavity lesions were the main factors leading to fungal rhinosinusitis. The observation group of nasal congestion, runny nose, purulent drainage, inferior turbinate enlargement in control group, the difference was statistically significant (P<0.05), the observation group the incidence of epistaxis was significantly higher than the control group, the difference was statistically significant (P<0.05); fungal rhinosinusitis occurs in the maxillary sinus calcified plaque were significantly higher than those of patients with sphenoid sinus. The incidence of calcified plaques in the maxillary sinus was compared with that in the sphenoid sinus and the maxillary sinus. The difference was statistically significant (P<0.05). Conclusion the clinical features of fungal rhinosinusitis are obvious and the diagnosis of CT is specific, and it can be used as an important basis for the diagnosis of fungal rhinosinusitis.

简介：[摘要 ] 目的 研究分析鼻内镜下治疗鼻出血的临床研究。 方法 首先应用鼻内镜下云南白药 +鼻腔微型填塞，直接或者进一步应用鼻内镜下电凝 +鼻腔微型填塞治疗鼻出血。 结果 60例鼻出血， 1次治愈 57例（ 95%）， 2次治愈 3例（ 5%），治愈率为 100%。患者痛苦小，随访 1个月未再次出血。 结论 鼻内镜下云南白药 +鼻腔微型填塞对治疗鼻腔前段、静脉性鼻出血就能有显效。鼻内镜下电凝 +鼻腔微型填塞治疗鼻腔较深部位、动脉性出血是最佳的选择。根据鼻出血不同的部位、出血量的多少及难易程度选择有效的方法止血能尽可能减轻患者的痛苦，降低反复鼻出血的概率。   　　 [关键词 ] 鼻出血；电凝；鼻内镜；鼻腔微型填塞