我们在三级保健中心治疗鼻孢子虫病的一系列经验

Priya K
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摘要

鼻孢子虫病是一种慢性肉芽肿性病变,其病因是一种被称为seeberi鼻孢子虫的真菌,它属于中菌科的植菌纲。在大多数情况下,它主要影响鼻子和鼻咽部。临床表现为不稳定、不规则、淡红色息肉样肿块,有肾轴返流病史。通常,诊断是在对息肉样病变的活检样本进行组织学分析后得出的。方法:本研究在获得机构人类伦理委员会的批准后,在我院耳鼻喉科对总共20名患者进行了研究。结果:20例患者中,12例为鼻孢子虫病,4例为口咽部病变,2例为喉、气管病变。其中2例为恶性鼻孢子虫病。通过内窥镜鼻窦手术完全切除肿块,并电灼基底以消除任何复发的可能性。结论:本研究的好处在于对大量不同表现的病例进行了检查。本研究表明,早期发现、及时诊断、及时治疗和良好的随访是治疗鼻孢子虫病的必要条件。Priya K, Raghvi A.三级医疗中心治疗鼻孢子虫病的病例分析。中国卫生与城市医学杂志,2013;12(3):3-8。DOI: https://doi.org/10.24321/2278.2044.202343
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A Case Series of Our Experiences with Rhinosporidiosis in a Tertiary Care Center
Introduction: The cause of rhinosporidiosis, a chronic granulomatouslesion, is a fungus called Rhinosporidium seeberi that belongs to thephycomycete class of the Mesomycetozoea family. In most cases, itprimarily affects the nose and nasopharynx. Clinically, it appears as afriable, irregular, reddish polypoidal mass with a history of recurrentepistaxis. Typically, a diagnosis is reached after the histological analysisof biopsy samples taken from polypoid lesions.Methodology: The study was conducted at our institution’s Departmentof Otorhinolaryngology on a total of 20 patients after receiving approvalfrom the Institutional Human Ethics Committee.Results: Out of these 20 patients, 12 had nasal rhinosporidiosis, 4 hadlesions in the oropharynx, and 2 had lesions in the larynx and trachea.Two of these patients had malignant rhinosporidiosis. The mass wasentirely excised via endoscopic sinus surgery, and the base was electrocauterisedto eliminate any potential of recurrence.Conclusion: The benefit of this study was that a sizeable number of caseswith a variety of presentations were examined. This study showed thatearly detection, prompt diagnosis, treatment, and a good follow-upare necessary for treating rhinosporidiosis. How to cite this article:Priya K, Raghvi A. A Case Series of Our Experienceswith Rhinosporidiosis in a Tertiary Care Center.Chettinad Health City Med J. 2023;12(3):3-8. DOI: https://doi.org/10.24321/2278.2044.202343
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