鼻泪管阻塞三种不同手术方式的临床观察

Effects of three surgical approaches on nasolacrimal duct obstruction

目的探讨三种不同手术方式治疗鼻泪管阻塞的临床疗效观察。方法对156例鼻泪管阻塞患者随机分为三组,分别行三种不同手术方式:A组行泪道激光手术;B组行鼻泪管支架植入术;C组行内窥镜下鼻腔泪囊吻合术。术后随访,观察术后18个月时间的术后临床效果。结果泪道激光术后的有效率为73.3%;鼻泪管支架植入术的有效率为88.3%;内窥镜下鼻腔泪囊吻合术的有效率为98.3%。结论三种手术方式都有各自的优点,泪道激光手术操作简单,适合在条件有限的基层医院推广;鼻泪管支架植入术适合在条件稍好的地市级医院推广,内窥镜下鼻腔泪囊吻合术是一种微创、安全、疗效好的手术方法,值得在有条件的医院临床上广泛推广。

【Objective】To compare clinical efficacy of three surgical approaches on nasolacrimal duct obstruction.【Methods】A total of 156 cases of nasolacrimal duct obstruction were randomly divided into three group, group A was treated with Nd： YAG laser, group B was treated with nasolacrimal stent, group C was treated with dacryocystorhinostomy under nasal endoscope. A follow-up of 18 months was conducted on all the patients to observe the clinical effects after operation. 【Results】The total efficacy of group A was 73.3%, the total efficacy of group B was 88.3%, the total efficacy of group C was 98.3%.【Conclusions】Nd： YAG laser is worth for application in basic hospitals of limited conditions. Nasolacrimal stent is worth for application in municipal hospitals of better conditions. Dacryocystorhinostomy under nasal endoscope is minimally invasive,safe with good curative effect, which is worth for application in large scale.