菌鼻炎:一个综合的诊断方法
R Soundarya1, H C Deepa1, Peralam Yegneswaran Prakash2
1Department of Pathology, Kasturba medical college, Manipal, Manipal Academy of Higher Education, Manipal, Karnataka 576104, India.
Annals of diagnostic pathology
|November 30, 2024
概括
组织病理学有助于早期诊断真菌鼻炎 (FRS). 这项研究对FRS病例进行了分类,发现侵袭性形式更为常见,并证明了其组织病理学.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 菌类学 菌类学是指菌类学.
- 病理学 病理学 病理学
背景情况:
- 对真菌鼻炎 (FRS) 的准确分类对于有效的患者管理至关重要.
- 组织形态学和临床表现是FRS的关键诊断因素.
研究的目的:
- 评估诊断为FRS的患者的临床病理学发现.
- 将FRS病例分为非侵入性和侵入性亚型.
- 为了诊断准确性,将组织病理与真菌培养进行比较.
主要方法:
- 85名FRS患者的回顾性观察研究 (2019年1月至2021年12月).
- 对临床,成像和组织病理学发现的审查.
- 分类为非侵入性 (真菌球,过敏性FRS) 和侵入性 (急性,慢性,颗粒性) FRS.
- 对Aspergillus. 菌株病理学与真菌培养结果的比较.
主要成果:
- 66%的病例是侵入性FRS,急性侵入性真菌鼻炎 (AIFRS) 是最常见的 (70%).
- 非侵入性FRS占34%的病例,主要是真菌球 (FB).
- 组织病理学显示,与真菌学相比,阿斯伯吉卢斯的灵敏度为90%,特异性为96%.
- 糖尿病和COVID-19联合感染是常见的并发症.
结论:
- 综合诊断方法对于准确的FRS诊断有价值.
- 组织病理学评估是有效的查工具,特别是在资源有限的环境中.
- 通过组织病理学的早期诊断有助于迅速的患者管理.
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