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題名 | 雙側麴菌鼻竇炎--病例報告=Bilateral Aspergillus Sinusitis--Case Report |
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作者 | 葉芳銘; 詹光漢; 劉嘉銘; | 書刊名 | 中華民國耳鼻喉科醫學雜誌 |
卷期 | 34:1 民88.01-02 |
頁次 | 頁67-70 |
分類號 | 416.854 |
關鍵詞 | 雙側麴菌鼻竇炎; 麴菌; 功能性內視鏡鼻竇手術; Bilateral aspergillus sinusitis; Aspergillus; Functional endoscopic sinus surgery; |
語文 | 中文(Chinese) |
中文摘要 | 麴菌引起的鼻竇炎,一般說來,只侵犯一個鼻竇,偶見多個鼻竇,以上頜竇最常 見,其次為篩竇、蝶竇、額竇,除過敏性麴菌鼻竇炎(allergic aspergillus sinusitis)會 有雙側感染,其他型式的麴菌鼻竇炎多為單側。本科於民國86年 3月間,經歷一36歲男性病 例,因鼻竇炎就診,經電腦斷層發現雙側性鼻竇炎,且從其受波及的鼻竇分佈,令我們想到 可能是雙側黴菌感染而給予功能性內視鏡鼻竇手術。術後病理檢查證實是侵犯性的雙側麴菌 鼻竇炎,病人術後情況良好,至今未曾復發。 |
英文摘要 | Nasal aspergillosis ofter involves one sinus, sometimes two or more, but rarely bilateral. The maxillary sinus is most frequently affected, followed by the ethmoid, the sphenoid, and the frontal sinuses. Though allergic aspergillus sinusitis may be present in bilateral sinuses, the other forms of aspergillus sinusitis usually invade one side only. A 36-year-old man who suffered from chronic paranasal sinusitis visited the National Taiwan University Hospital in March, 1997. Computed tomographic (CT) scanning revealed that bilateral sinuses fungal infection was suspected were coudy, and from the picture. Functional endoscopic sinus surgery was undertaken. Bilateral invasive aspergillus sinusitis was proved histopathologically. |
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