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題 名 | 孤立性蝶竇麴菌症--病例報告=Isolated Aspergillosis of the Sphenoid Sinus--A Case Report |
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作 者 | 蔡耀漢; 張燕良; | 書刊名 | 慈濟醫學 |
卷 期 | 11:1 1999.03[民88.03] |
頁 次 | 頁109-113 |
分類號 | 416.853 |
關鍵詞 | 麴菌症; 孤立性蝶竇炎; 蝶竇內視鏡切開術; Aspergillosis; Isolated sphenoid sinusitis; Endoscopic sphenoidotomy; |
語 文 | 中文(Chinese) |
中文摘要 | 麴菌的鼻竇感染中以上頷竇最常見,篩竇及額竇次之,而蝶竇只為偶而感染。 單 一蝶竇之麴菌感染則甚為少見。依其感染的型式可分:非侵犯型,侵犯型,猛爆型,及過敏 型。本院耳鼻喉科於 1997 年 10 月經歷一名 48 歲女性病患,曾因輕度鼻涕倒流及一次鼻 涕帶血絲至北部一醫學中心就診,並無明確診斷及治療,故轉至本院。病人本身並無特殊疾 病或免疫狀況不良,也無頭痛之現象。電腦斷層攝影顯示左側蝶竇有一不透明之斑塊,但鼻 咽部並無異常發現。經六個星期的藥物治療後,症狀卻依然存在。施行內視鏡蝶竇切開術及 徹底清除麴菌後,病人狀況良好,並無復發的情形。 |
英文摘要 | Maxillary sinus is the most frequent site of sinus aspergillosis. Infection of the ethmoid and frontal sinuses is uncommon and the sphenoid sinus is occasionally affected. Isolated aspergillosis of the sphenoid sinus is very rare. Sinus aspergillosis presents as several types: non-invasive, invasive, fulminant and allergic. In October 1997, we experienced a 48-year-old female who suffered mild post-nasal drip and one episode of bloody rhinorrhea. The patient had no systemic diseases or immunocompromised condition. CT scan of head showed normal sinuses except opacification in left sphenoid sinus, without any other abnormal findings in the nasopharyngeal area. She received medical treatment for six weeks, but the symptoms were not relieved. Endoscopic sphenoidotomy was performed and pathology revealed aspergillosis. The patient's condition improved after surgery, and she has had no recurrence of disease after 6 months of follow up. |
本系統中英文摘要資訊取自各篇刊載內容。