非侵入性真菌性鼻窦炎鼻内镜治疗术后咪康唑鼻窦内灌注治疗效果研究

Effect of intranasal infusion of miconazole on non-invasive fungal sinusitis after endoscopic sinus surgery

  • 摘要: 目的 探讨非侵入性真菌性鼻窦炎鼻内镜治疗术后咪康唑鼻窦内灌注治疗效果,以期为非侵入性真菌性鼻窦炎的临床治疗提供依据。方法 选取2010年1月-2015年12月医院行鼻内镜治疗非侵入性真菌性鼻窦炎患者135例,随机盲取法分为观察组69例、对照组66例,两组均给予内镜下手术治疗,对照组于术后5 d、15 d内镜清理术腔,观察组在对照组基础上给予咪康唑鼻窦内灌注,均不应用抗感染药物。观察两组痊愈患者复发情况。结果 观察组治疗后CRP低于同组治疗前及对照组同期(P<0.05),两组治疗前后PCT对比,差异无统计学意义;对两组痊愈患者随访1年,观察组6、12个月复发率均低于对照组同期(P<0.05)。结论 咪康唑鼻窦内灌注且不应用抗菌药物对鼻内镜治疗非侵入性真菌性鼻窦炎治疗效果满意,且复发率低,值得临床推广,但CRP在治疗中的价值,有待于进一步研究。

     

    Abstract: OBJECTIVE To investigate the effect of intranasal infusion of miconazole on non-invasive fungal sinusitis after endoscopic sinus surgery, in order to provide evidence for the clinical treatment of non-invasive fungal sinusitis. METHODS A total of 135 cases of patients intends to carry out nasal endoscopic treatment of non-invasive fungal sinusitis from Jan. 2010 to Dec. 2015 were selected, and were divided into observation group (69 cases), control group (66 cases) by blind randomized method. Patients in the two groups were given endoscopic surgical treatment, in control group, were given the postoperative 5D, 15d endoscope cleaning cavity operation, and in the observation group were given miconazole sinus perfusion based on the treatment of control group, and both of the two groups did not use anti-infective drugs. The recurrence rates of the two groups of patients with recovery were observed. RESULTS The CRP of observation group after treatment was lower than the same group before treatment and control group after treatment (P<0.05). The PCT of the two groups before and after treatment had no statistically significant difference. The two groups were followed up for 1 years, and the recurrence rates of observation group were lower than those of control group in 6 and 12 months (P<0.05). CONCLUSION The curative effect of miconazole sinus perfusion and no antibiotics for nasal endoscopic treatment of non-invasive fungal sinusitis is satisfactory, and the recurrence rate is low, which is worthy of the clinical promotion, but the value of CRP in the treatment has to be further studied.

     

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