̼, , ؿ,
Ҽ
̼ ( Lee Seon-Heui ) - ѱǷῬ Ƿ
( Ko Ryeo-Jin ) - ѱǷῬ
ؿ ( Shin Hae-Won ) - ѱǷῬ
KMID : 9000120110010290001
Abstract
û : dzī κ
dzī κ (Balloon Sinuplasty) ġῡ ʴ κ ȯڸ dz ī ̿Ͽ ּ ħ ϴ Ƿ 53 Ƿ Ģ 3 dzī κ Ī 2011 1 19Ͽ ûǾ. 3 ȸ(2011.8.22) Ƿ dzī κ Ͽ.
Ƿȸ ȸ
2011 3 Ƿȸ(2011.3.18) Ǿ ִ Ƿ ü , ȸ ʿ伺 ִ Ƿ ǴϿ. , ü ̿ϸ ̺İ, а 4 ȸ ϵ Ͽ. 4 ȸ 2011 6 8Ϻ 2011 9 9ϱ 4 4ȸ ȸ ٰſ ü ϰ Ͽ, 2011 9 Ƿȸ(2011.9.23) dzī κ ȿ Ͽ.
dzī κ
:
κ κ Ǵ ݺ Ǿ ϴ , ġῡ ʴ κ ִ κ Ͽ ȯ 輳 ϰ ִ ھ ̻ ϴ ġḦ ϰ ȴ. dzī κ κ ȯڸ κ ջ 鼭 κ ȸϴ dzȮ, ü Ͽ ȿ Ͽ.
:
dzī κ ˻ κ ȯڸ dzī κ Ͽ պ κ Ÿ κ CT Ұ, ð ˻翡 κ (patency) ְ ӻȣ, Ƿ Ͽ. ˻ ڸƸ带 8 ͺ̽ Ovid-MEDLINE, Ovid-EMBASE Cochrane Library ͺ̽ ̿Ͽ. ù (?Exp Sinusitis/ OR sinusitis.mp?OR ?Exp Rhinitis/ OR rhinitis.mp?OR ?rhinosinusitis.mp?) AND (?Exp Balloon dilation/ OR balloon dilation.mp? OR ?balloon catheter.mp? OR ?balloon adj2 sinuplasty.mp?) ˻ ˻(1) 236 ˻Ͽ ߺ˻ (62) Ͽ 218 ܵǾ 18 ԵǾ. ˻ ñ ڷ ܰ ȸ ƿ 2 ڰ Ͽ. SIGN ̿Ͽ ̿ ٰ ذ ǰ Ͽ.
dzī κ 13 պ, ÿ 缱 ⷮ Ͽ.
պ ð κ 2( ӻ 1, ȣƮ 1) ȭ(turbinate lateralization) , κ , , Ǿ ̴ ƴϾ, Ƶ̵ 1 պ ʾҴ. , ϱ (9) 2 ô (extravasation) 2.2%(1/45), ռ κ 8.3%(9/109), (device) ۵3.4% (12/358) Ǿ ̴ ɰ պ ƴ ڿġ ġ ؼҵǾ, 7 պ ʴ ʾҴ. ǥ Ȯ Ǵ ÷ 缱 ⷮ 6 忡 Ǿ, ȯ ð κ 18-2.2(3), ȯڴ 9.3(1) 缱 ⷮ κ 0.18mGy-1.33mSv, ȯڴ
7.3mSv̾, ǻ 缱 ⷮ ȯڴ 0.072-0.09mSv(2)̾. ȸ ̴ ڿȯκ ް Ǵ 缱 (3.6mSv)̳ CT(8mSv), angioplasty(7.5-57mSv) ٰ Ͽ. ȸ dzī κ ð κ ̰, ֿ պ ʾ, ÷ 缱 ü ϴٴ ǰ̾.
ȿ
dzī κ ȿ 13 κ Ÿ κ CT Ұ(Lund-Mackay ), ð ˻翡 κ (patency) ְ ӻȣ, Ͽ. κ CT Ұ(Lund-Mackay ) ð κ 1 ü ̴ Ȯε ʾ ü ü 12 ҵ Ͽ. ϱ dzī κ ܵ (3) ٸ ü (1) Ͽ. ð ˻翡 κ (patency) ð κ 1 dzī κ 73%, 63%̾, ϱ (3)
81-86% (patency rate) Ͽ. ְ ӻȣ ð κ (1), Ƶ̵(1) dzī κ ü , ð κ (1) ü ӻȣ ü ̴ Ȯε ʾ ü Ͽ. ϱ ܵ(5) SNOT-20 ҿ 62-96.6% ȯڿ ְ ȣ Ͽ, ٸ ü (1) SN-5 ־ Ҹ Ͽ. ð κ 1 dzī κ 6.3%(1/16), ü 18.8%(3/16), Ƶ̵ 1 籺 6.6%(2/30), 15.7%(3/19) ü dzī κ
Ǿ. ϱ (5) ȯڴ 2-9.2%, κ0.98- 3.6% Ͽ.
dzī κ ȸ 忡 ٰϿ Ͽ. dzī κ ( ð κ , Ƶ̵) Ͽ պ ϰ, κ Ÿ κ CT ð ˻翡 κ ü Ͽ, ְ ӻ ȿ ̰, ϰ ȿ Ͽ(ǰB).
Ƿȸ ǰ ȸ Բ 2011 10 10 Ǻ Ǿ.
Ű
ũƿ