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鼻内窥镜下泪囊鼻腔造孔术改良疗效探讨

The efficacy of modified endoscopic intranasal dacryocystorhinostomy
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摘要 为比较鼻内窥镜下鼻内泪囊鼻腔造孔术改良与传统经鼻外泪囊鼻腔吻合术的疗效及并发症 ,并探讨其影响因素 ,采用随机对照临床验证方法 ,将 6 8例 ( 88眼 )慢性泪囊炎分为治疗组 38例 ( 4 8眼 )和对照组 30例 ( 4 0眼 ) ,两组临床参数差异无显著性。按治疗组及对照组的方法手术 ,随访 5个月以上。比较两组术后疗效及并发症 ,探讨治疗组的影响因素。结果显示 :治疗组治愈率 83.33% ,好转率 10 .42 % ,无效 6 .2 5 % ,总有效率 93.75 % ,与传统手术无差异 ,但治愈率高 ,并发症明显低于传统方法。认为本术式操作简便 ,损伤小 ,并发症少 ,面部无瘢痕 ,治愈率高 ,较好保留眼轮匝肌及睑部诸肌对泪液导流作用。 In order to compare the efficacy, complication and effective factors between the modified endoscopic intranasal dacryocystorhinostomy and traditional extranasal dacryocystorhinostomy, 68 patients (88 eyes) with chronic dacryocystitis were divided into the therapeutic group (38 cases, 48 eyes) and the control group (30 cases, 40 eyes) by using randomizedly clinical test method and their clinical parameters were the same. Over 5 months of follow-up had been done after the surgeries for the two groups. The postoperative efficacy and the complication were compared between these two groups and the effective factors were also analysed in the therapeutic group. Results showed that: in the therapeutic group, the curative rate was 83.33%, the remission rate 10.42%, and the ineffective rate 6.25%. The total effective rate was 93.75% and it was the same as that in the traditional group, but the therapeutic group had higher therapeutic rate and lower complication than that in the traditional group. This study indicated that the modified endoscopic intranasal dacryocystorhinostomy had the advantages of simplicity, less injury and complication, non facial scars, high curative rate and could preserve the drain function of the eye orbicular muscles and all the muscles of the palpebral part on the tears. The main factors of affecting the prognosis were nasal cavity condition and postoperative management.
出处 《右江民族医学院学报》 2001年第6期860-862,共3页 Journal of Youjiang Medical University for Nationalities
基金 广西区卫生厅立项项目
关键词 内窥镜检查 泪囊鼻腔造孔术 泪囊炎 预后 治疗 endoscopy dacryocystorhinostomy dacryocystitis prognosis
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