鼻内窥镜下经鼻腔泪囊鼻腔造孔术疗效观察

Effect of the dacrycystorhinostomy by nasal endoscopy

目的：探讨鼻内窥镜下经鼻腔行泪囊鼻腔造孔术治疗慢性泪囊炎及其他原因造成的鼻泪管阻塞的手术方式和疗效。方法：对我科收治的慢性泪囊炎患者8例（10侧）、面部复合伤造成鼻泪管阻塞患者2例（2侧）实施经鼻腔行泪囊鼻腔造孔术，术后随访4～9个月。结果：本组患者术后症状明显好转，治愈9例（11侧），好转1例（1侧）。造孔处上皮化时间均在3个月以内。结论：鼻内窥镜下经鼻腔行鼻腔泪囊造孔术是治疗慢性泪囊炎及其他原因造成的鼻泪管阻塞的有效方法，手术时间短，损伤小，疗效满意。

Objective： To investigate the method and response of the dacrycystrhinostomy by nasal endoscopy for chronic dacryocystitis and obstruction of lacrimonasal duct. Method： Eight cases（ 10 sides） of chronic dacryocystitis and 2 cases of occlusion of lacfimonasal duct were dealt with the dacrycystrhinostomy by nasal endoscopy. Results： Followed up for 4 to 9 months, the symptoms were obviously released. Nine cases （ 11 sides） had been cured and 1 case （ 1 side） had response. The epithelization was in 3 months. Conclusion： The dacrycystrhinostomy by nasal endoscopy is an effective method with short operation and few injury.