泪道阻塞性疾病的鼻内镜下鼻腔泪囊吻合手术疗效观察

Clinical efficacy of endoscopic nasolacrimal dacryocystorhinostomy for lacrimal duct obstructive diseases

目的:探讨泪道阻塞性疾病的鼻内镜下鼻腔泪囊吻合手术的疗效。方法:回顾性分析100例泪道阻塞性疾病患者的临床资料,50例采用传统手术方法实施泪囊鼻腔吻合治疗为对照组,50例患者采用鼻内镜下鼻腔泪囊吻合术为观察组。比较两组术后1个月、3个月的临床疗效;随访6个月,比较两组复发率。结果:(1)术后1个月,观察组痊愈率为82.0%,好转率为16.0%,观察组临床疗效优于对照组,差异有统计学意义(P<0.05);观察组总有效率为100.0%,显著高于对照组的86.0%,差异有统计学意义(P<0.05)。(2)术后3个月,观察组痊愈率为76.0%,好转率为24.0%,临床疗效优于对照组,差异有统计学意义(P<0.05);观察组总有效率为100.0%,高于对照组的78.0%,差异有统计学意义(P<0.05)。(3)随访6个月,观察组有1例复发,占2.0%,对照组有6例复发,占12.0%,两组比较差异有统计学意义(P<0.05)。结论:与传统鼻腔泪囊吻合术相比,鼻内镜下鼻腔泪囊吻合术治疗泪道阻塞性疾病具有更好的临床疗效,复发率低,且创伤小。

Objective:To discuss the clinical efficacy of endoscopic nasolacrimal dacryocystorhinostomy for lacrimal duct obstructive diseases.Methods:The clinical data of 100 patients with lacrimal duct obstructive diseases were analyzed retrospectively.50 cases were treated with dacryocystorhinostomy by traditional operation as observation group,50 cases were treated with dacryocystorhinostomy under nasal endoscope as observation group.The clinical effects of the two groups were compared 1 month and 3 months after operation.Follow-up for 6 months,the recurrence rate was compared between the two groups.Results:1 month after operation,the recovery rate of the observation group was 82.0%,the improvement rate was 16.0%,the clinical effect of the observation group was better than that of the control group,the difference was statistically significant(P<0.05).The total effective rate of the observation group was 100%,which was significantly higher than that of the control group(86.0%),the difference was statistically significant(P<0.05).3 months after operation,the recovery rate of the observation group was 76.0%,the improvement rate was 24.0%,the clinical effect was better than that of the control group,the difference was statistically significant(P<0.05).The total effective rate of the observation group was 100.0%,higher than 78.0%of the control group,the difference was statistically significant(P<0.05).After 6 months follow-up,1 case recurred in the observation group,accounting for 2.0%,and 6 cases recurred in the control group,accounting for 12.0%.The difference between the two groups was statistically significant(P<0.05).Conclusion:Compared with traditional dacryocystorhinostomy,endoscopic nasolacrimal dacryocystorhinostomy has better clinical efficacy,lower recurrence rate and less trauma in the treatment of lacrimal duct obstructive diseases.