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目的：探讨鼻窦曲菌病的发病原因、诊断依据、治疗方法。方法：对２９例鼻窦曲菌病患者临床分析、真菌培养、病理检查。结果：８２．７％患者主要症状为血涕及头痛，真菌培养其阳性的９０％为烟曲菌，病理检查均查到曲菌菌丝，７９．３％的患者鼻窦自然开口不通畅。结论：鼻窦曲菌病发病诱因主要为鼻窦自然开口引流不通畅或阻塞。治疗的首选方法是手术建立鼻腔和窦腔之间通畅的引流。
Objective: To investigate the pathogenesis of sinusitis, diagnosis basis and treatment. Methods: The clinical analysis of 29 cases of sinusitis, fungal culture, pathological examination. Results: The main symptoms of 82.7% were bloody runny nose and headache. 90% of fungi were positive for Aspergillus fumigatus, and the mycosis was found in pathological examination. 79.3% of patients had no natural opening of sinus. CONCLUSIONS: The predisposing factor for sinusitis is mainly due to the unnatural or obstructive drainage of sinus openings. The preferred method of treatment is surgery to establish a clear drainage between the nasal and sinus cavities.