内窥镜下泪囊鼻腔吻合术综合治疗复发性泪囊炎的疗效

Clinical efficacy of endoscopic dacryocystorhinostomy in treatment of recurrent dacryocystitis

目的:探讨内窥镜下泪囊鼻腔吻合术联合泪道扩张引流管治疗复发性慢性泪囊炎的治疗效果及其应用价值。方法:选择齐齐哈尔市五官医院治疗的复发性慢性泪囊炎患者26例作为研究对象,随机分为观察组与对照组,对照组采用外路泪囊鼻腔吻合手术治疗,观察组采用内窥镜下泪囊鼻腔吻合术联合泪道扩张引流管治疗,记录治疗效果。结果:观察组总有效率为92.30%;对照组总有效率为69.23%,观察组临床治疗总有效率高于对照组,差异有统计学意义(P<0.05)。结论:采用内窥镜下泪囊鼻腔吻合术联合泪道扩张引流管综合治疗复发性慢性泪囊炎手术成功率高,手术创伤小,术后皮肤无瘢痕,手术及住院时间短,值得在临床上推广使用。

Objective:To explore the therapeutic effect and application value of endoscopic dacryocystorhinostomy combined with dilated drainage tube for recurrent chronic dacryocystitis.Methods:A total of 26 patients with recurrent chronic dacryocystitis treated in our hospital were selected as the research subjects.The patients were randomly divided into the observation group and the control group.The control group was treated with external dacryocyst nasal anastomosis,and the observation group was treated by endoscopic dacryocystorhinostomy combined with lacrimal duct dilatation and drainage treatment.Results:The total effective rate of the observation group was 92.30%.The total effective rate of the control group was 69.23%.The total effective rate of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion:Endoscopic dacryocystorhinostomy combined with dilated lacrimal duct drainage tube has a high success rate in the treatment of recurrent chronic dacryocystitis,reducing the surgical wound is small and there is no scar on the skin after surgery,and the duration of the operation and hospitalization were short.It is worth popularizing in clinical practice.