摘要
目的 比较泪道插管术与泪囊鼻腔吻合术治疗慢性泪囊炎的疗效.方法 将慢性泪囊炎69例(70眼),分为泪道插管术组24例(25眼)和泪囊鼻腔吻合术组45例(45眼),观察2组疗效.结果 随访6~42个月,泪道插管术组治愈18眼,好转2眼,无效5眼,总有效率80.00%;泪囊鼻腔吻合术组治愈38眼,好转6眼,无效1眼,总有效率97.78%.2组间总有效率比较差异有统计学意义(P<0.05).结论 泪道插管术与泪囊鼻腔吻合术均是治疗慢性泪囊炎的有效方法,各有其优缺点;泪道插管术因其操作简单、安全、微创,值得应用和推广.
Objective To compare the clinical effects of lacrimal duct intubation with dacryocystorhinostomy for the treatment of chronic dacryoeystitis. Methods Twenty-four cases (25 eyes) with chronic daeryocystitis patients received lacrimal duct intubation and 45 cases(45 eyes)with chronic dacryocystitis patients received dacryoeystorhinostomy and their efficacy were analyzed. Results After followed up 6 -42 months, 18 eyes were cured ,2 eyes alleviated ,and there were still 5 eyes without any improvement in lacrimal duct intubation group, 38 eyes were cured,6 eyes alleviated, and the symptom of 1 eye did not been changed in dacryocystorhinostomy group. The total effective rate of lacrimal duct intubation group was 80.00% and that of dacryocystorhinostomy group was 97.78%, respectively, there was significant difference between the two groups ( P 〈 0. 05 ). Conclusion Both interventional implantation with lacrimal duct intubation and dacryocystorhinostomy are effective treatments for the chronic dacryocystitis with their different characteristics. The interventional implantation with lacrimal duct intubation is a simple, safe and effective with minimally invasive treatment method for chronic dacryocystitis and could be applied and promoted.
出处
《河北医科大学学报》
CAS
2013年第11期1400-1402,共3页
Journal of Hebei Medical University
关键词
泪囊炎
吻合术
外科
插管法
dacryocystitis
anastomosis, surgical
intubation