CAJ | 학술논문

目的：探讨Wormald术式联合额窦开口引流管置入治疗复发性额窦病变的疗效。方法复发性额窦病变合并其他鼻窦疾病患者共64例，101侧。经患者知情同意分为治疗组（A组）及对照组（B组），比较两组疗效。 A组32例（51侧）应用Wormald术式联合引流管置入，B组32例（50侧）行额窦开放术，术前鼻窦CT尤其是矢状位重建明确病变范围、来源及其与重要结构的毗邻关系。结果所有患者术后均随访6个月以上， A组治愈42侧，好转7侧，无效2侧，治愈率为82％；B组治愈35侧，好转8侧，无效7侧，治愈率为70％。两组治愈率差异有统计学意义（ P＜0．05）。结论 Wormald术式联合额窦开口引流管置入治疗复发性额窦病变疗效确切。
목적：탐토Wormald술식연합액두개구인류관치입치료복발성액두병변적료효。방법복발성액두병변합병기타비두질병환자공64례，101측。경환자지정동의분위치료조（A조）급대조조（B조），비교량조료효。 A조32례（51측）응용Wormald술식연합인류관치입，B조32례（50측）행액두개방술，술전비두CT우기시시상위중건명학병변범위、래원급기여중요결구적비린관계。결과소유환자술후균수방6개월이상， A조치유42측，호전7측，무효2측，치유솔위82％；B조치유35측，호전8측，무효7측，치유솔위70％。량조치유솔차이유통계학의의（ P＜0．05）。결론 Wormald술식연합액두개구인류관치입치료복발성액두병변료효학절。
Objective To study the clinical therapeutic efficacy of Wormald with drainage tube for chronic frontal lesion . Methods Patients were divided into group A ( treatment group ) and group B ( control group ) .Wormald with drainage tube was used in 32 patients in group A whereas ,frontal sinustomy was used in 32 patients in group B .Sinus CT reconstruction was necessary before operation.Results Follow-up for 6 months showed that 42 sides(82%)were cured, 7 sides improved and 2 sides failed in group A whereas 35 sides(70%)were cured, 8 sides improved and 7 sides failed in group B.There was statistically significant difference be-tween the two groups .Conclusions Modified Wormald with drainage tube for the chronic frontal lesion has significant effect .