两种手术方法治疗慢性泪囊炎的疗效对比

Effects comparison of two operation methods in treatment of dacryocystitis

目的：比较鼻腔泪囊吻合术（EDCR）及鼻内镜下鼻腔泪囊造孔术（IEDCR）联合泪道置管的疗效,探讨治疗泪囊炎的最佳手术方法。方法：随机将门诊确诊的慢性泪囊炎患者37例37眼分为两组,分别采用上述两种手术方法治疗,术后随访6~12mo观察手术疗效。结果：IEDCR组17眼,有效16眼,好转1眼,总有效率为94%;EDCR组20眼,有效18例,好转2眼,总有效率为90%。EDCR组与IEDCR组之间有效率无显著性差异（P〉0.05）。IEDCR组术后反应轻,面部无瘢痕,恢复较快。EDCR组术后反应重,面部留有瘢痕,恢复较慢。结论：EDCR和IEDCR均是治疗慢性泪囊炎的可靠方法,但IEDCR微创术后反应及疗效好,值得推广应用。

AIM： To investigate the effects on patients with chronic dacryocystitis treated with two methods： external dacryocystorhinostomy（ EDCR） and intranasal endoscopic dacryocystorhinostomy（ IEDCR） combined with intubation of lacrimal ducts,and to explore the best operation method.METHODS： Totally 37 cases（ 37 eyes） were randomly divided into two groups, using EDCR and IEDCR respectively,postoperative follow- up lasted 6 ~12mo.RESULTS： The success rate of IEDCR group and EDCR group were 94%（ 17 eyes） and 90%（ 20 eyes）respectively. There was no significant difference between EDCR group and IEDCR group（ P〉0. 05）. There were Slighter postoperative reaction, no postoperative scar,faster postoperative recovery in IEDCR group than those in EDCR group.CONCLUSION： EDCR and IEDCR were effective methods. Especially IEDCR is minimal invasive technique and worthy of promotion and application.