等离子鼻腔泪囊造口术治疗慢性泪囊炎临床研究

Treating 34 Cases of Chronic Dacryocystitis with Nasal Cavity Dacryocystostomy in Plasma

目的:观察等离子鼻腔泪囊造口术治疗慢性泪囊炎疗效。方法:门诊按眼科治疗无效病例共34眼,随机分为4组:A组用单纯鼻内镜下泪囊等离子切开鼻造口并无特殊处理计7眼,B组等离子泪囊切开造口及安插硅胶管计8眼,C组等离子泪囊切开后骨窗造口周围覆盖抑制剂丝裂霉素计10眼,D组等离子泪囊切开后骨窗周围覆盖华蟾素计9眼,手术后常规处理21d。1年后复查评定疗效。结果:有效率A组85.7%,B组87.8%,C组90.0%,D组100.0%。4组差异无显著意义。结论:经分析认为手术后使用华蟾素方便效果好。

Objective： To observe the effect of nasal cavity dacryocystostomy in plasma to treat chronic dacryocystitis. Methods： 34 eyes of chronic dacryocystitis that was treated in ophthalmology but ineffective were randomly divided into 4 groups as follow： A group （7 eyes） was treated with simple dacryocyst cutting open with plasma and nose stoma under nose endoscope. B group （8 eyes） was treated with dacryocyst cutting open with plasma and stoma and placing the silica gelduet. C group （ 10 eyes） was treated in mitomycin by surrounding bone windows stoma after dacryocyst cutting open with plasma. D group （9 eyes） was treated in bufonin by surrounding bone windows stoma after dacryocyst cutting open with plasma. The conventional therapy was 21 days postoperation. The curative effect was evaluated after 1 year. Results： the effective rate was 85.7% in the A group, 87.8% in the B group,90.0% in the C group and 100.0% in the D group. Conclusion： there was better effect to treat chronic dacryocystitis using bufonin after operation.