鼻内窥镜下钬激光泪囊鼻腔造孔术治疗慢性泪囊炎

Treatment for chronic cacrocystitis by dacryocystorhinotomy with Ho:YAG laser under endoscope

目的 :探讨治疗慢性泪囊炎的有效方法。方法 :对 2 0例慢性泪囊炎患者在鼻内窥镜下采用钬激光泪囊鼻腔造孔术。结果 :术后随访 1～ 2年 ,术后 8个月拔管 1例 ,6个月拔管 6例 ,4个月拔管 4例 ,3个月拔管 9例。随访 1年无一例复发 ,有效率 10 0 %。无一例出现并发症。结论 :应用钬激光鼻内窥镜下行泪囊鼻腔造孔术 ,克服了传统手术的缺点 ,具有损伤小 ,面部无瘢痕 ;出血少 ,视野清晰 ;方法简便快捷 ,无须住院手术 ;并发症少等优点 ;

Objective:To analyze the experience and curative effect in treating chronic cacrocystitis by dacryocystorhinotomy with Ho:YAG laser under endoscope.Method:20 patients of chronic cacrocystitis were treated by dacryocystorhinotomy with Ho:YAG laser under endoscope ,followed up for 1～2 years to observe the curative effects.Result:One was unplugged 8 months after the operation, six after 6 months, four after 4 months and nine after 3 months. No recidivations was found one year after the operation and the effective rate was 100%. There was no complications in all of the cases.Conclusion:The technique of dacryocystorhinotomy with Ho:YAG laser under endoscope overcomes the disadvantages of traditional method of operation.