CAJ | 학술논문

目的：探讨解剖安全边界治疗感染型先天性耳前瘘管的疗效。方法对77例单侧感染型先天性耳前瘘管手术患者进行回顾性分析，其中35例患者采用手术显微镜下直接分离法（A组），42例患者采用解剖安全边界的手术方式（B组）。结果术后随访1~2年，A组术后复发3例，行二次手术后痊愈。B组术后无复发。结论采用解剖安全边界手术方式治疗感染型先天性耳前瘘管，简便易用，安全高效。
목적：탐토해부안전변계치료감염형선천성이전루관적료효。방법대77례단측감염형선천성이전루관수술환자진행회고성분석，기중35례환자채용수술현미경하직접분리법（A조），42례환자채용해부안전변계적수술방식（B조）。결과술후수방1~2년，A조술후복발3례，행이차수술후전유。B조술후무복발。결론채용해부안전변계수술방식치료감염형선천성이전루관，간편역용，안전고효。
Objective To explore efifcacy of dissection of margin of safety in treatment of infectious congenital preauricular ifstula. Methods 77 surgical cases of unilateral infectious congenital preauricular ifstula were retrospectively analyzed, including 35 cases dissected directly under the microscope (group A) and 42 cases dissected the margin of safety (group B). Results After 1-2 years of postoperative follow-up, 3 recurrent cases in group A recovered after the second surgery while no recurrence in group B. Conclusion Dissecting margin of safety in treatment of infectious congenital preauricular ifstula, is easy, safe and efifcient.