查詢結果分析
來源資料
頁籤選單縮合
題 名 | 過敏性黴菌鼻竇炎--病例報告=Allergic Fungal Sinusitis--Case Report |
---|---|
作 者 | 王仲祺; 江榮山; 許振益; | 書刊名 | 中華民國耳鼻喉科醫學雜誌 |
卷 期 | 34:4 民88.07-08 |
頁 次 | 頁320-323 |
分類號 | 416.854 |
關鍵詞 | 過敏性黴菌鼻竇炎; 過敏性黏液; 薰煙色麴菌; Allergic fungal sinusitis; Allergic mucin; Aspergillus fumigatus; |
語 文 | 中文(Chinese) |
中文摘要 | 過敏性黴菌鼻竇炎是屬於非侵入性黴菌鼻竇炎。根據國外文獻報告,需要接受手 術治療的鼻竇炎患者中約 6% 到 8% 屬於此類疾病, 但在國內則少有此類病例報告。 根據 1994 年 Mayo clinic 的診斷標準:若病人有典型的富含嗜酸性白血鼻黏液,並且有黴菌導 致鼻竇炎的證據,就符合過敏性黴菌鼻竇炎的診斷。本科有一 44 歲女性鼻竇炎併鼻息肉患 者,接受兩側功能性鼻竇內視鏡手術,術後病理標本顯示鼻黏膜及鼻黏液富含嗜酸性白血球 ,並在期鼻竇內含物培養出薰煙色 菌。根據以上的發現診斷此病患是一個過敏性黴菌鼻竇炎 病例,特別提出討論。 |
英文摘要 | Allergic fungal sinusitis is a noninvasive type of sinusitis. According to previous reports trom the USA, it accounts for approximately 6% to 8% of all cases of chronic sinusitis requiring surgical intervention. However, It has been rarely reported in Taiwasn. According to the diagnostic criteria defined by the Mayo clinic, the diagnosis of allergic fungal sinusitis is made for all patients who demonstrate characteristic allerglc mucin and one of the with no evidence of following: 1)fungal hyphae within the allergic mucin with no evidence of tissue invasion, or 2) positive results of cultures for fungl. The allergic mucin contains clumps or sheets of necrotic eosinophils against an amorphous, pale eosinophilic or basophilic background. A 44-year-old female patient with multiple sinusitis and nasal polyposis underwent bilateral functional endoscopic sinus surgery in November 1997. The pathological report of the sinus contents showed characteristic allergic mucin without fungal hyphae. A culture of the sinus contents revealed growth of Aspergillus fumigatus. This met the diagnostic criteria of allergic fungal sinusitis, and its details are discussed. The patient's symptoms including nasal obstruction and post nasal dripping subsided after the operation. Thus FESS is an effective surgical procedure to treat this kind of sinusitis. |
本系統中英文摘要資訊取自各篇刊載內容。