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目的:探讨鼻窦真菌球术后应用抗真菌药物及对患者的影响。方法:对真菌球患者230例中的105例为治疗组局部应用抗真菌药物作鼻窦冲洗,125例为对照组不用抗真菌药物作鼻窦冲洗。结果:术后鼻窦内窥镜随访1~2年,两组均无真菌球复发。结论:非侵袭型真菌性鼻窦炎经过手术的彻底去除,充分开放窦口,改变真菌赖以生存的内环境是治疗的关键,抗真菌药物的应用不是必须的。
Objective: To investigate the application of antifungal drugs after sinus fungal ball surgery and its impact on patients. Methods: 105 cases of fungal ball in 230 cases for the treatment of local application of antifungal drugs for sinus irrigation, 125 cases of control group without antifungal drugs for sinus rinse. Results: Endoscopic sinus surgery was followed up for 1 to 2 years, and no fungal ball recurrence was found in both groups. Conclusion: The complete removal of non-invasive fungal sinusitis after surgery, full opening of the ostium, the key to the change of the environment in which the fungus depends. Survival of antifungal agents is not necessary.