泪囊鼻腔吻合术治疗老年患者慢性泪囊炎疗效研究

Efficacy of dacryocystorhinostomy in treatment of chronic dacryocystitis in senile patients

目的：研究泪囊鼻腔吻合术治疗老年患者慢性泪囊炎的疗效和可行性。方法入选2012年6月至2014年7月于上海交通大学医学院附属仁济医院眼科行泪囊鼻腔吻合术的慢性泪囊炎患者38例进行回顾性研究。所有患者分为两组，其中研究组（老年患者组）和对照组（非老年患者组）各19例（19眼），行鼻腔泪囊吻合术，术后随访3～18个月，对比分析其临床疗效。结果老年患者组治愈15例（78.9%），改善3例（15.8%），无效1例（5.3%），总有效率94.7%；非老年患者组治愈率14例（73.7%），改善3例（15.8%），无效2例（10.5%），总有效率89.5%。研究组与对照组的临床疗效差异无统计学意义（P＞0.05）。两组均未发生严重并发症。结论在术前进行充分地安全性评估的前提下，行泪囊鼻腔吻合术治疗老年患者慢性泪囊炎是有效可行的。

Objective To investigate the efficacy and feasibility of dacryocystorhinostomy in treatment of chronic dacryocystitis in the elderly patients. Methods A total of 38 patients （38 eyes） with chronic dacryocystitis receiving dacryocystorhinostomy in our department from June 2012 to July 2014 were enrolled in this retrospective analysis. The patients were divided into 2 groups according to their age, that is, the senile group （mean age of 63 years） and the non-senile group （mean age of 44 years） with 19 cases （19 eyes） in each group. All the cases were followed up for 3？18 months, and the clinical outcomes were compared between the 2 groups. Results In the senile group, 15 cases were cured （78.9%）, 3 improved （15.8%） and 1 case invalid （5.3%）, and the effective rate was 94.7%. While for the non-senile group, 14 cases were cured （73.7%）, 3 improved （15.8%） and 2 cases invalid （10.5%）, and the effective rate was 89.5%. There was no significant difference in clinical efficacy between the 2 groups （P〉0.05）. No serious complication occurred in either group. Conclusion Given sufficient safety assessment before operation, dacryocystorhinostomy is a feasible and effective surgery for chronic dacryocystitis in senile patients.