원발성 콩다래끼 환자에서 병소 내 트리암시놀론주사요법과 절개배농술의 치료 효과 비교
Comparison of Effectiveness Between Intralesional Triamcinolone Injections and Incision and Curettage for the Primary Chalazia
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목적: 원발성 콩다래끼 환자의 치료에 있어서 병소 내 Triamcinolone acetonide (TA) 국소 주사요법과 절개배농술의 치료효과를 비교해보고자 하였다. 대상과 방법: 원발성 콩다래끼로 진단받은 103명의 환자들을 대상으로 치료방법의 차이를 비교하기 위하여 두 군으로 나누어 한 군에는병소 내 TA 국소주사(A군)를 시행하였고, 다른 한 군에는 절개배농술(B군)을 시행하였다. 시술 후 1주 및 3주에 경과관찰을 하여 병소의 변화 및 합병증 발생 여부를 관찰하였다. 치료 성공여부는 시술 후 3, 6주에 판단하였으며 시술 성공은 병소의 크기가 감소하여, 미용상, 기능상의 문제가 없는 경우로 정의하였다. 결과: 전체 103명의 환자 중 연구 조건을 충족한 82명의 환자를 대상으로 연구를 시행하였다. 44명에게 병소 내 TA국소 주사요법을시행하였으며, 나머지 38명에게 절개배농술을 시행하였다. 시술 3주에 확인한 초회 치료 성공률은 A군이 81.8%, B군이 86.8%였으며, 시술 6주에 확인한 누적치료 성공률은 A군이 86.8%, B군이 92.1%였다. 양 군 모두에서 시술 후 특별한 합병증은 발생하지 않았다. 결론: 원발성 콩다래끼 환자의 치료에 있어서 병소 내 TA국소 주사는 절개배농술만큼 효과적인 치료이다.
Abstract
Purpose: To evaluate the effectiveness of intralesional triamcinolone acetonide injection, and incision and curettage for primary chalazia. Methods: In order to compare the effectiveness of treatment modality, 103 patients who were diagnosed with primary chalazia were divided into 2 groups. The patients in group A underwent intralesional triamcinolone acetonide injection and the patients in group B underwent incision and curettage. The patients were followed up 1 week and 3 weeks after the procedures to identify the regression of the lesion and the procedure complications. A decision regarding success or failure was made at 3 and 6 weeks after the treatment. Successful treatment was defined as the infallibility in the functional and esthetic aspects as well as the size of regressed lesion. Results: This study included 82 out of 103 patients, who satisfied the inclusion criteria. Forty-four patients underwent intralesional triamcinolone acetonide injection and the remaining 38 patients underwent incision and curettage. The success rate of the initial treatment, which was identified 3 weeks after the procedure, was 81.8% in group A and 86.8% in group B. The cumulative success rate of treatment after 6 weeks was 86.8% in group A and 92.1% in group B. No complications were observed with both treatment modalities. Conclusions: Intralesional triamcinolone acetonide injection is as effective and safe as incision and curettage for the treatment of primary chalazia.
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