摘要
目的探讨泪小点进路鼻内镜下激光泪囊鼻腔造孔术治疗慢性泪囊炎的方法及疗效。方法鼻内镜下Nd∶YAG激光光纤由泪小点进路行泪囊鼻腔造孔治疗慢性泪囊炎患者37例38只眼。术前均行泪道探查,排除泪小点、泪小管及泪总管阻塞及闭锁。随访6个月。结果 37例38只眼慢性泪囊炎患者,治愈32只眼(其中包括1例双眼患者),治愈率为84.2%;好转5只眼,占13.2%;无改善1只眼,占2.6%。总有效率达97.4%。结论泪小点进路鼻内镜下Nd∶YAG激光泪囊鼻腔造孔术治疗慢性泪囊炎具有操作简便,定位准确,创伤小,出血少,疗效好、费用低等优点,是一种新型微创术式。
Objective To describe our experience with Nd∶YAG laser assisted dacryocystorhinostomy from puncta lacrimalia pathway with nasal endoscopy.Methods The Nd∶YAG laser was used to perform a bony osteotomy of the lacrimal sac into the nasal cavity.The position for the perforation was controlled by endonasal endoscopy.The procedure was performed under either general or local anesthesia.A series of 37 patients（38 eyes） required surgery for dacryostenosis,and with 6 months postoperative follow-up.Results Six months after surgery,32（84.21%） of the 38 eyes were free of symptoms,5（13.16%）eyes experienced intermittent tearing and 1（2.63%） eye was without improvement.Conclusions Nd∶YAG laser for dacryocystorhinostomy through punctum lacrimalia assisted with nasal endoscope has the following advantages such as easy operation,accurate positioning,less tissue damage,less hemorrhage,eutherapeutic effect and lower cost,which is a new minimally invasive surgery.
出处
《中国激光医学杂志》
CAS
CSCD
2010年第5期300-302,共3页
Chinese Journal of Laser Medicine & Surgery
关键词
泪囊鼻腔造孔术
鼻内镜
激光
慢性泪囊炎
Dacryocystorhinostomy
Nasal endoscope
Laser
Chronic dacryocystitis
