微小瘢痕外路泪囊鼻腔吻合术16例

Micro-scar surgery in dacryocystorhinostomy on chronic dacryocystitis

目的探讨微小瘢痕外路鼻腔泪囊吻合术治疗慢性泪囊炎的临床效果。方法对16例(16眼)患者在经典鼻腔泪囊吻合术的基础上改变皮肤切口位置,沿着皮肤纹理切开,皮下组织按经典手术切口制作。泪囊和鼻黏膜瓣制作中,使前瓣长,并作缝合;后瓣短,不做缝合。观察术后皮肤切口、泪道通畅情况,有无溢泪、溢脓。结果所有患者术后皮肤切口几乎无瘢痕残留,泪道冲洗均通畅,无溢泪现象,无黏液脓性分泌物。结论微小瘢痕外路泪囊鼻腔吻合术可作为治疗慢性泪囊炎的方法之一。

Objective chronic dacryocystitis. Methods To investigate the clinical effects of micro-scar surgery in dacryocystorhinostomy on The surgery was performed by changing skin incision based on the classical dacryocystorhinostomy. The skin incision was made along the skin texture, while the subcutaneous tissue incision was made according to the method of classical surgery. The mucosal flaps of dacryocyst and nose which were intended to be made long were sutured, while those were made short were maintained sutureless. Postoperative conditions of skin incision and lacrimal passage as well as epiphora were observed. Results Sixteen patients of 16 eyes were observed. The skin scars were reduced to the minimum for all the patients. And no patient had the symptom of lacrimal duct obstruction. At the same time, the patients were satisfied with on epiphora and mucopurulent secretions. Conclusions Micro-scar surgery in dacryocystorhinostomy was feasible and can be used to treat chronic dacryocystitis.