원저

만성부비동염 환자에서 부비동 단순 X-선 사진과 전산화 단층 (CT) 사진 소견의 비교

선동일1, 윤선호1, 신민호1, 서병도1, 양일권*
Dong-Il Sun1, Sun-Ho Yoon1, Min-Ho Shin1, Byung-Do Suh1, Il-Kwon Yang*
Author Information & Copyright
1가톨릭대학교 의과대학 이비인후과학교실
*방사선과학교실
1Department of Otorhinolaryngology, Catholic University Medical College
*Radiology, Catholic University Medical College

© Copyright 1993 The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery. This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Published Online: May 31, 2020

ABSTRACT

Plain X-ray traditionally has been used to diagnosis of sinusitis but the diagnostic accuracy is still controversy. So we evaluated 25 patients who visited Kang-Nam St. Mary’s Hospital during the period from January 1992 to August 1992 with sinusitis symptoms. The patients were revaluated with CT and compared it with plain X-ray for the presence of sinusitis and its severity. The results were as follows:

  1. Plain X-ray showed a 82% diagnostic accuracy in the presence of maxillary sinusitis with a 54% accuracy in the severity.

  2. Plain X-ray showed a 84% diagnostic accuracy in the presence of ethmoid sinusitis with a 60% accuracy in the severity.

  3. Plain X-ray showed a 80% diagnostic accracy in the presence of frontal sinusitis with a 60% accuracy in the severity.

  4. Olfactory fissure showed a 74% accuracy in the determining the patency.

Keywords: Chronic Paranasal Sinusitis; Plain X-ray; CT


37권 2호 Quiz 및 정답, 해설

정답 ③ ㄴ,ㄹ

ㄱ. 갑상선 고주파는 전극 주변에 고주파 전류가 흐르면서 조직내 이온들을 빠르게 진동시키고 
이렇게 발생한 마찰열(friction heat)을 통해 섭씨 60~100도씨의 열을 발생시켜 조직의 응고 괴사를 유도한다.

ㄴ. 생리식염수는 Na+,Cl-를 포함하여 전기전도성이 높아 5% DW 같은 비이온성 용액을 이용하는 것이 좋다.

ㄷ. 관련된 흔한 합병증은 통증, 혈종, 일시적 음성변화로 알려져 있다.

ㄹ. 갑상선 고주파절제술은 정상 갑상선조직을 최대한 보존하면서 양성결절의 부피감소를 유도하고, 
미세유두암의 완전 소실을 유도할 수 있는 치료이다.

 

* 당첨자 (5명)

권**    010-****-**85

고**    010-****-**75

서**    010-****-**72

이**    010-****-**61

장**    010-****-**64

 

응모해 주신 모든분들께 감사드립니다.

경품은 당첨자분들께 8.21(금)까지 개별 발송해 드리겠습니다.

 

임상이비인후과 편집위원회 


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