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 between the two groups. Conclusions Modified Wormald with drainage tube for the chronic frontal lesion has significant effect.