Wormald术式联合引流管置入治疗复发性额窦病变疗效分析  

Wormald with surgical drainage tube implanted to treat recurrent frontal lesions: analysis of efficacy

作　　者：张旭东[1] 李楠[1] 姚书霞[1] 王晓玲[1] 

机构地区：[1]武警河南总队医院耳鼻咽喉-头颈外科,郑州450052

出　　处：《武警医学》2014年第7期717-719,共3页Medical Journal of the Chinese People's Armed Police Force

摘　　要：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。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 .

关 键 词：复发性 额窦病变 Wormald术式 引流管置入 

分 类 号：R765.9[医药卫生—耳鼻咽喉科]