摘要
将80例(87只眼)慢性泪囊炎患者随机分为两组,40例(43只眼)接受泪囊鼻腔吻合术,40例(44只眼)接受内窥镜下经鼻泪囊鼻腔造孔术,术后随访了73例(78只眼),随访时间3～8个月,平均6个月。结果显示:内窥镜下经鼻泪囊鼻腔造孔术组(41只眼)治愈率90.2%,泪囊鼻腔吻合术组(37只眼)67.6%(P<0.05)。内窥镜下经鼻泪囊鼻腔造孔术具有疗效好、损伤小、适应证宽、并发症少、方法简便快捷及无面部瘢痕等优点,并可同期处理鼻腔鼻窦伴随病变。无论内窥镜下经鼻泪囊鼻腔造孔术还是泪囊鼻腔吻合术,均应强调术后随访,在内窥镜下清理鼻腔是保持造孔开放、提高手术成功率的重要措施。
Eighty cases (87 eyes) with chronic dacryocystitis were divided randomly into two groups. 40 cases (43 eyes) had undergone external dacryocystorhinos tomy (EDCR) and 40 cases (44 eyes), intranasal endoscopic dacryocystorhiuostomy (IEDCR). 73 eases (78 eyes) were followed for 3-8 months (mean, 6 months). The cure rate in the IEDCR group was 90.2% and that of the EDCR group was 67.9%(p<0.05). Compared with EDCR, IEDDR has some advantages such as less damage and complications, higher cure rate, easier technique, shorter time of operation, more precise operative site, no facial scar and it can treat the nasal diseases at the same time. Postoperative fellow-up is emphasized after both operations. To inspect and clean the operative site after operation was one of the most important measures to increase the successfur rate.
出处
《眼科》
CAS
1996年第2期93-95,共3页
Ophthalmology in China
关键词
泪囊炎
内窥镜
眼外科手术
Dacryocystitis
Nose
Endoscopic operation
