中国耳鼻咽喉头颈外科2025，Vol.32Issue(6)：362-365,4.DOI:10.16066/j.1672-7002.2025.06.005
合并真菌球对牙源性上颌窦炎临床特征和组织炎症模式的影响分析
Analysis of the effect of combined fungal balls on clinical characteristics and tissue inflammation patterns of odontogenic maxillary sinusitis
摘要
Abstract
OBJECTIVE To investigate the effects of combined fungal balls on the clinical characteristics and tissue inflammatory patterns of odontogenic maxillary sinusitis(OMS).METHODS Retrospective collection of OMS patients admitted to the Department of Allergy of Beijing Tongren Hospital affiliated to Capital Medical University from January 2022 to December 2024,who underwent surgery.CT imaging was used to identify the types of odontogenic causes,and tissue sections stained with HE were used to classify the types of inflammation.The impact of fungal balls on the clinical characteristics and inflammatory patterns of OMS was analyzed.RESULTS Among 43 patients with OMS,44.1%were combined with fungal balls,and there was no statistical difference in gender,age and diabetes combination.OMS with fungal balls is more prone to periodontitis,while OMS without fungal balls is more prone to periapical periodontitis.Whether or not combining with fungal balls has no effect on the incidence of sinus floor destruction.The presence or absence of fungal balls has no effect on the tissue inflammation pattern of OMS,and the lymphocyte type is the most common inflammatory cell type in OMS with(45.4%)and without(41.6%)fungal balls.CONCLUSION OMS often coexists with fungal balls,and periodontitis is more common,but it has no effect on the type of tissue inflammation.关键词
鼻窦炎/上颌窦炎/牙源性上颌窦炎/真菌球Key words
Sinusitis/Maxillary Sinusitis/odontogenic maxillary sinusitis/fungal balls引用本文复制引用
刘冰,张媛,佘文煜..合并真菌球对牙源性上颌窦炎临床特征和组织炎症模式的影响分析[J].中国耳鼻咽喉头颈外科,2025,32(6):362-365,4.基金项目
国家自然科学基金(82471132) （82471132）
