鼻内窥镜下行鼻腔泪囊吻合术治疗慢性泪囊炎临床疗效

Clinical Effect of Nasal Lacrimal sac Dacryocystorhinostomy for Chronic Dacryocystitis

目的对鼻内窥镜下行鼻腔泪囊吻合术治疗慢性泪囊炎临床治疗效果进行探讨。方法方便采集2017年9月—2019年9月该院慢性泪囊炎患者110例,通过随机法分为55例对照组(常规鼻腔泪囊吻合术)与55例研究组(鼻内窥镜下行鼻腔泪囊吻合术),比较不同手术应用效果的差异性。结果对照组手术时间、术中出血量、住院时间及住院费用分别为(72.26±6.61)min、(23.69±8.10)mL、(11.45±2.08)d、(2249.3±90.8)元,研究组手术时间、术中出血量、住院时间及住院费用分别为(40.58±6.11)min、(13.30±7.74)mL、(3.02±0.66)d、(1157.4±55.6)元;相较于对照组,研究组手术时间与住院时间更短,术中出血量与住院费用更少,差异有统计学意义(t=26.101、6.877、28.649、76.056,P<0.05)。两组治疗前各项疗效性指标水平差异无统计学意义(t=0.725、1.301、0.848,P>0.05);相较于对照组,研究组治疗后各项疗效性指标水平更优,差异有统计学意义(t=11.517、6.139、10.516,P<0.05)。对照组治疗有效率78.2%,研究组治疗有效率94.5%;相较于对照组,研究组治疗有效率更高,差异有统计学意义(χ^2=6.253,P<0.05)。对照组并发症发生率18.2%,研究组并发症发生率5.5%;相较于对照组,研究组治疗后并发症发生率更低,差异有统计学意义(χ^2=4.586,P<0.05)。结论在慢性泪囊炎治疗中,可通过鼻内窥镜下行鼻腔泪囊吻合术取得确切治疗效果,具有良好恢复作用,安全性与经济性更高。

Objective To investigate the clinical effect of nasal lacrimal sac dacryocystostomy for chronic dacryocystitis.Methods A total of 110 patients with chronic dacryocystitis from September 2017 to September 2019 were conveniently selected and randomly divided into 55 control groups(conventional nasal lacrimal sac anastomosis)and 55 research groups(nasal endoscopic dacryocystorhinostomy).Compare the differences in the effects of different surgical applications.Results The operation time,intraoperative blood loss,hospitalization timeand hospitalization cost of the control group were(72.26±6.61)min,(23.69±8.10)mL,(11.45±2.08)d,(2249.3±90.8)yuan.The operation time,hospitalization time,he intraoperative blood loss and hospitalization costs were(40.58±6.11)min,(13.30±7.74)mL,(3.02±0.66)d,(1157.4±55.6)yuan;compared with the control group,the operation time and hospitalization time of the study group were shorter.The amount of moderate bleeding and hospitalization costs were less,and the difference was statistically significant(t=26.101,6.877,28.649,76.056,P<0.05).The difference in the level of various therapeutic indexes before treatment between the two groups was small and had no statistical significance(t=0.725,1.301,0.848,P>0.05);compared with the control group,the various therapeutic indexes of the research group after treatment was better,and the difference was statistically significant(t=11.517,6.139,10.516,P<0.05).The treatment efficiency of the control group was 78.2%,and the treatment efficiency of the research group was 94.5%;compared with the control group,the treatment efficiency of the study group was higher,and the difference was statistically significant(χ^2=6.253,P<0.05).The incidence of complications in the control group was 18.2%,and the incidence of complications in the study group was 5.5%;compared with the control group,the incidence of complications in the study group was lower after treatment,and the difference was statistically significant(χ^2=4.586,P<0.05).Conclusion In the treatment of chronic dacryocystitis,definitive nasal lacrimal sac anastomosis can be achieved through nasal endoscopy.It has a good recovery effect and is safer and more economical.