泪道硅胶引流管植入术与鼻内窥镜下鼻腔泪囊吻合术治疗慢性泪囊炎的疗效对比

Comparison of the clinical effects of two surgical approaches on chronic dacryocytitis

目的比较泪道硅胶引流管植入术与鼻内窥镜下鼻腔泪囊吻合术两种手术方式治疗慢性泪囊炎的疗效。方法选取2017年1月至2017年8月安徽医科大学第二附属医院诊断慢性泪囊炎病人120例120只眼,采用随机数字表法分为A、B两组,每组各60例。A组病人行泪道硅胶引流管植入术,B组病人行鼻内窥镜下鼻腔吻合术。观察两组病人术后疗效。结果术后随诊6个月。治疗3个月后,A组有效率为83.4%,B组有效率为95.0%,两组比较,差异有统计学意义(χ2=4.22,P<0.05);6个月后A组有效率为78.4%,B组有效率为92.4%,两组比较,差异有统计学意义(χ2=5.55,P<0.05)。结论鼻内窥镜下鼻腔泪囊吻合术治疗慢性泪囊炎手术效果优于泪道硅胶引流管植入术,可作为慢性泪囊炎治疗首选术式。

Objective To compare the effects of lacrimal duct drainage tube insertion and dacryocystorhinostomy under nose endo scope for chronic dacryocystitis.Methods Totally 120 cases(120 eyes)with chronic dacryocystitis were randomly divided into two groups.There were 60 cases in the group A(lacrimal duct drainage tube insertion),60 cases in the group B(dacryocystorhinostomy under nose endoscope).The effects were observed after operation.Results Patients were followed up for 6 months.The effective rate of the group A was 83.4%and the group B 95.0%in 3 months.There was statistically significant difference between the two groups in 3 months(χ2=4.22 P<0.05).The effective rate of the group A was 78.4%and the group B 92.4%in 6 months.There was statistically significant difference between the two groups in 6 months(χ2=5.55,P<0.05).Conclusion Dacryocystorhinosto my under nose endoscope is superior to lacrimal duct drainage tube insertion in the treatment of chronic dacryocystitis.The opera tive method can be the first choice for the treatment of chronic dacryocystisis.