摘要
目的探讨对高龄慢性泪囊炎患者采用鼻内镜下泪囊鼻腔吻合术治疗的临床效果。方法共计纳入本院收治的高龄慢性泪囊炎患者108例,病例收集时间在2017年11月至2019年12月。所有患者均给予泪囊鼻腔吻合术进行治疗,根据患者在手术过程中是否选用鼻内镜进行分组,其中单纯行泪囊鼻腔吻合术治疗的54例患者纳入对照组,其余在鼻内镜下进行手术治疗的54例患者纳入实验组,对比2组患者的手术治疗效果。结果实验组手术时长(42.33±5.41)min、术中失血量(13.97±2.51)mL、住院费用(1182.64±62.37)元以及住院时长(5.01±0.67)d均少于对照组(76.25±6.79)min、(25.09±3.55)mL、(2345.95±98.25)元和(12.36±2.03)d,2组对比差异显著(P<0.05);手术前,实验组和对照组施墨试验、泪膜破裂时间(BUT)以及溢泪程度评分对比无明显差异(P>0.05);手术后,实验组上述三项指标均少于对照组,2组对比差异显著(P<0.05);实验组治疗总有效率96.3%、并发症发生率7.41%,分别与对照组83.33%和22.22%相比均存在显著差异(P<0.05)。结论借助鼻内镜进行泪囊鼻腔吻合术治疗可以有效改善高龄慢性泪囊炎的泪腺分泌功能,减轻其溢泪评分,在保障治疗安全性的同时提高临床治疗效果,值得临床推广实施。
Objective To discuss the effectiveness of nasal endoscopy-assisted dacryocystorhinostomy in elderly patients with chronic dacryocystitis.Methods 108 elderly patients with chronic dacryocystitis of undergoing the dacryocystorhinostomy from November 2017 to December 2019 in our hospital were selected.According to the usage of nasal endoscopy,54 cases without taking the endoscopy were included in the control group;54 cases of taking the endoscopy were included in the test group.Surgical effects were assessed.Results The operation time,intraoperative bleeding volume,hospitalization costs and hospital stays in the test group were(42.33±5.41)min,(13.97±2.51)mL,(1182.64±62.37)Yuan and(5.01±0.67)d,which were significantly better than those in the control group[(76.25±6.79)min,(25.09±3.55)mL,(2345.95±98.25)Yuan and(12.36±2.03)d](P<0.05);before surgery,Schirmer test,break-up time(BUT)and epiphora assessment scores between groups were not significantly different(P>0.05);after surgery,related scores in the test group were significantly lower than control group(P<0.05);total effective rate and complication rate in the test group were 96.3%and 7.41%,which were significantly different from those in the control group(83.33%,22.22%)(P<0.05).Conclusion The nasal endoscopy-assisted dacryocystorhinostomy can effectively improve patient’s lacrimal secretion function,reduce the epiphora assessment scores,and increase the surgical safety and effects.It is worthy of clinical promotion and application.
作者
陈川
CHEN Chuan(Yuancheng District People’s Hospital,Heyuan,Guangdong 517000)
出处
《智慧健康》
2021年第11期101-103,共3页
Smart Healthcare
关键词
慢性泪囊炎
鼻内镜
泪囊鼻腔吻合术
并发症
Chronic dacryocystitis
Nasal endoscopy
Dacryocystorhinostomy
Complications
