经鼻内镜鼻泪管开放治疗慢性泪囊炎的临床研究

The Clinical Study of Endoscopic Nasal Lacrimal Duct Open in the Treatment of Chronic Dacryocystitis

目的:探讨经鼻内镜鼻泪管开放治疗慢性泪囊炎的临床疗效。方法:纳入52例(眼)慢性泪囊炎患者,术前均完善泪囊造影CT检查,随机分为观察组和对照组两组,每组各26例(眼)患者,观察组经鼻内镜下鼻泪管开放术,对照组经鼻内镜泪囊鼻腔造口术。术前、术后采用VAS评分,比较两组患者的治疗效果。结果:治疗前后VAS评分比较差异有统计学意义(P<0.05);观察组患者的临床总有效率明显高于对照组,术后鼻泪管阻塞及溢泪的复发率明显低于对照组,两组比较差异均有统计学意义(P<0.05)。结论:鼻内镜下鼻泪管开放术治疗鼻泪管阻塞型慢性泪囊炎具有良好的治疗效果,并且术后患者鼻泪管阻塞的复发率低及溢泪改善程度高,值得临床推广。

Objective：To explore the clinical effect of nasolacrimal duct open in the treatment of chronic dacryocystitis.Method：52 cases（eyes） of chronic dacryocystitis were selected and divided into two groups,the observation group and control group,26 cases（eyes） in each group. The lacrimal sac contrast CT examination before operation were perfected. The observation group was underwent nasal endoscopic nasolacrimal duct open surgery and control group was underwent nasal endoscopic dacryocystorhinostomy.The therapeutic effect of two groups of patients were compared by preoperative and postoperative VAS score.Result：Before and after treatment, VAS score was statistically significant（P0.05）;clinical total effective rate of observation group patients was obviously higher than that of control group, postoperative obstruction of the nasolacrimal duct and epiphora recurrence rate was lower than the control group,the differences were statistically significant（P0.05）.Conclusion： Endoscopic nasal lacrimal duct open treatment of nasolacrimal duct obstruction type chronic dacryocystitis has good treatment effect, and the postoperative patients with nasolacrimal duct obstruction and low recurrence rate and epiphora improvement degree is high, is worth the clinical promotion.observation group and control group, 26 cases （ eyes ） in each group. The-lacrimal sac contrast CT examination before operation were perfected. The observation group was underwent nasal endoscopic nasolacrimal duct open surgery and control group was underwent nasal endoscopic dacryocystorhinostomy.The therapeutic effect of two groups of patients were compared by preoperative and postoperative VAS score.Result： Before and after treatment, VAS score was statistically significant （ P〈0.05 ）; clinical total effective rate of observation group patients was obviously higher than that of control group, postoperative obstruction of the nasolacrimal duct and epiphora recurrence rate was lower than the control group, the differences were statistically significant （ P〈0.05 ） .Conclusion： Endoscopic nasal lacrimal duct open treatment of nasolacrimal duct obstruction type chronic dacryocystitis has good treatment effect, and the postoperative patients with nasolacrimal duct obstruction and low recurrence rate and epiphora improvement degree is high, is worth the clinical promotion.