纤维鼻咽喉镜下泪囊鼻腔造孔术治疗慢性泪囊炎

Dacryocystorhinotomy for Chronic Dacryocystitis with Fiber Nasopharyngolaryngoscope

目的:探讨纤维鼻咽喉镜下泪囊鼻腔造孔术治疗慢性泪囊炎的疗效。方法采用日本OLYMPUSENFTYPET3鼻咽喉镜,于鼻腔中早前端附着处开骨窗,将管芯的导管于泪囊插入鼻腔并固定,3个月后从鼻腔内撤出泪道内导管。结果术后鼻内泪囊造孔形成>1mm,上皮化,溢泪、流脓症状完全消失,冲洗泪道通畅。结论纤维鼻咽喉镜下泪囊鼻腔造孔术不损伤面容,副损伤小,操作方便,术后疗效显著。

Objective:To investigate the effectiveness of dacryocystorhinotomy for chronic dacryocystitis under fiber nasopharyngolaryngoscope.Method:Under the fiber nasopharyngolaryngoscope (OLYMPUS ENFTYDEF) we open a bone window in the place of middle turbinate frontage attaching to the natal cavity, then thrill a catheter through from dacryocystis to nasal cavity and fix it. Three months after,we take the catheter out from the natal cavity. Results: After operation, the intranasal dacryocystorhinostomy pore is epidermidalization and the diameter of the pore is large more then 1 mm. Further more,the epiphora symptoms completely disappeared and the Irrigate of dacryagogue is smooth. Conclusion:Under fiber nasopharyngolaryngoscope the dacryocystorhinotomy for chronic dacryocystitis does not disfigure the face,have slightly vice-damages with easy operating and have remarkably curative effect.