泪囊鼻腔吻合术吻合方式选择的探讨

The discussion on the anastomosis methods of dacryoeystorhinostomy

目的探讨泪囊鼻腔吻合术的吻合方式选择及手术技巧。方法通过对135例（152眼）慢性泪囊炎和单纯鼻泪管阻塞，术中根据泪囊的大小和泪囊与鼻黏膜距离分为3组，分别行3种不同的吻合方式。术后随访6—12个月，观察手术效果。结果治愈126眼（82．89％），好转21眼（13．82％），无效5眼（3．29％）。结论根据泪囊的大小和泪囊与鼻黏膜距离，选择泪囊鼻腔吻合术的吻合方式，更为合理有效。

Objective To discuss the anastomosis methods of dacryocystorhinostomy and the operation techniques. Methods Through the 135 cases （ 152 eyes） for the chronic dacryocystitis and nasolacrireal duct obstruction patients, according to the size for the lacrimal sac and the lacrimal sac to the nasal mucosa, do dacryocystorhinostomy by 3 kinds of the anastomosis methods ： Follow-up 6 months to 12 months after operation. Results 126 eyes（82.9% ） were cured; 21 eyes （ 13.8% ） were improved; and 5 eyes （3.3%） were invalid. Conclusion It is more reasonable and effective to choose the anastomosis methods of dacryocystorhinostomy,according to the size for the lacrimal sac and the lacrimal sac to the nasalmueosa.