文档介绍：内镜下泪囊鼻腔造孔术治疗慢性泪囊炎的疗效观察
董亦晗(通讯作者) 刘鹏李士新刘石王景丽
(大庆油田总医院耳鼻喉科黑龙江大庆 163001)
【摘要】目的: 探讨内镜下鼻腔泪囊造孔术治疗慢性泪囊炎的手术方式及临床疗效。方法:23例(28眼)采用德国Storz公司0°鼻内镜及手术器械行泪囊鼻腔造孔术,下泪小点植入硬脑膜外麻醉用硅胶导管,留置于中鼻道3~6个月。结果:随访6个月~2年,随访得21例(25眼),20眼泪道通畅,炎症消退;3眼术后泪囊造口处粘连闭锁,经鼻内镜下开放泪囊造口泪道恢复通畅。2眼泪道阻塞,检查泪囊造孔处通畅,行泪道冲洗多次,1眼泪道恢复通畅;1眼仍有阻塞,经再次置管处理,恢复正常。结论:该术式具有创伤小,面部不遗留瘢痕,操作简便等特点。术后随访是提高手术成功率的重要措施。
【关键词】泪囊炎鼻内镜泪囊鼻腔造孔术
【中图分类号】R615 【文献标识码】A 【文章编号】2095-1752(2013)04-0186-02
Effectiveness of endoscopy dacryocystorhinostomy for chronic dacryocystitis
Dong yi-han LIU peng LI shi-xin Liu shi Wang jing-li
(Department of Otolarynology,Daqing Oil Field General Hospital,Daqing,Heilongjiang,163001,China)
【Abstract】Objective:to analyze the surgical method and clinical effect of dacryocystorhinostomy in treating chronic dacryocystitis under nasal endoscope. Method :23 cases (28 eyes)with chronic dacryocystitis were operated under Germany Storz nasal endoscope and silicon tube was kept in lower lacrimal canaliculi for about 3-6 : 21 cases (25 eyes)were followed were essful and 5 eyes were of the failure was revised under endoscope,the other two re-cleared by lacrimal duct irrigating and keeping silicon tube once :
nasal endoscopy dacryocystorhinostomy in treating chronic dacryocystitis is a simple and safe method ,and postoperative follow-up is also important to enhance the chance