Đặc điểm lâm sàng và cận lâm sàng của bệnh nhân viêm mũi xoang do nấm được phẫu thuật tại Bệnh viện Tai Mũi Họng thành phố Hồ Chí Minh

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Tác giả: Trần Quang Minh Lê, Minh Tuấn Phạm

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Tạp chí Y Dược học Phạm Ngọc Thạch, 2024

Mô tả vật lý: tr.53

Bộ sưu tập: Metadata

ID: 341766

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Đặt vấn đề: Viêm mũi xoang do nấm (FRS) có bệnh cảnh lâm sàng đa dạng. Thể nấm xâm lấn cấp tính hiếm gặp nên dễ bị bỏ sót hay chẩn đoán nhầm với các bệnh lý ác tính
trong khi các thể bệnh khác lại không có triệu chứng đặc hiệu, nên thường được chẩn đoán ở giai đoạn muộn. Vì vậy, luôn cần có cập nhật mới nhất cho chẩn đoán bệnh. Mục tiêu: Mô tả đặc điểm lâm sàng, nội soi, CT scan và giải phẫu bệnh của bệnh nhân FRS được phẫu thuật tại bệnh viện Tai Mũi Họng TP.HCM. Phương pháp nghiên cứu: Mô tả cắt ngang 40 bệnh nhân FRS được phẫu thuật tại bệnh viện Tai Mũi Họng TP.HCM. Quản lý và phân tích số liệu bằng phần mềm SPSS 20.0. Kết quả: 90% FRS là thể u nấm. 90% FRS ở một bên xoang. 97,5% bệnh do Aspergillus sp., Mucor sp. chỉ gặp ở thể viêm mũi xoang do nấm xâm lấn cấp tính. Lâm sàng và nội soi ít đặc hiệu
CT scan và giải phẫu bệnh giữ vai trò chẩn đoán chính. Kết luận: FRS ở bệnh viện Tai Mũi Họng TP.HCM chủ yếu là thể u nấm. Aspergillus sp. là vi nấm gây bệnh thường gặp nhất. CT scan và giải phẫu bệnh giữ vai trò chính trong chẩn đoán. Abstract Background: Fungal rhinosinusitis (FRS) has a variety of clinical manifestations. Acute invasive fungal form is rare, so it is easily missed or misdiagnosed with malignancies
while other forms of the disease have no specific symptoms, they are often diagnosed at a late stage. Therefore, it is always necessary to have the most up - to - date diagnostics. Purpose: Description of clinical characteristics, endoscopic, CT scan and pathology of the fungal rhinosinusitis patients who were operated at Ear Nose Throat Hospital Ho Chi Minh City were all examinated. Methods: A descriptive cross - sectional study on 40 FRS patients undergoing surgery at Ear Nose Throat Hospital Ho Chi Minh City was performed. The data were processed and analyzed by SPSS software version 20.0. Results: 90% of FRS are fungal ball. 90% of fungal rhinosinusitis occurs on one side of the sinus. 97.5% cases are caused by Aspergillus sp., Mucor sp. only found in acute invasive fungal rhinosinusitis. Clinical symptoms and endoscopy are less specific. CT scan and pathology play a major diagnostic role. Conclusions: Fungal ball is the main type of Fungal rhinosinusitis patients at Ear Nose Throat Hospital Ho Chi Minh City. Aspergillus sp. is the most common fungal pathogen. CT scan and pathology play a major role in the diagnosis. DOI: 10.59715/pntjmp.2.3.6

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