【摘要】  目的：分析鼻内镜下泪囊鼻腔造孔术治疗慢性泪囊炎的临床疗效和影响因素。方法：鼻内镜下鼻腔泪囊造口术治疗慢性泪囊炎46例，术前泪囊碘油造影，鼻腔检查和治疗，术后药物治疗，泪道冲洗、拔管，及鼻腔处理。结果：术后治愈率86.5%，好转率13.5%，手术有效率达100%。全部病例无并发症出现。结论：术前慎重选择病例，术后综合治疗与处理是泪囊鼻腔造孔术成功的重要保证。

【关键词】  鼻内镜；泪囊鼻腔造孔术；慢性泪囊炎

    Clinical research on dcryocystorhinostomy in chronic dacryocystitis therapy

    Xiao-Quan Chen, Fang-Xia Chen, Yong Zhao

    Guangming Ophthalmic Hospital, Yangjiang 529500, Guangdong Province, China

    AbstractAIM: To evaluate the curative effects of dacryocyst -orhinostomy with nasal endoscopic surgery in chronic dacryocystitis. METHODS: Forty-six patients (52 eyes) of chronic dacryocystitis underwent intranasal dacryocystorhinostomy. Before the surgery, lacrimal sac and nasal cavity of the patients were checked. After the surgery, medicine therapy, irrigation of lacrimal duct and nasal endoscopy were performed. RESULTS: Among all the cases, 45 eyes (86.5%) were cured and 7 eyes (13.5%) were alleviated with no complication occurred. CONCLUSION: Careful selection of patients before surgery and integrated application of medicine therapy after surgery are the guarantee of the success of nasal endoscopy.

    · KEYWORDS: intranasal endoscope; dcryocystorhinostomy; chronic dacryocystitis

    0引言

    慢性泪囊炎是眼科的一种常见疾病，其主要症状为泪溢及流脓，以女性及农村患者为多，传统的疗法为泪囊鼻腔吻合术。近来也有采用泪道激光、鼻泪道硅胶插管、气囊导管扩张泪道成型等技术，虽然符合微创、美容的要求，但复发率较高[1]。1990年Rice在内窥镜下采用刮匙和电钻去除骨质，切除泪囊内壁的方法，实施了经鼻泪囊鼻腔造孔术，为慢性泪囊炎手术治疗提供了一条新的途径[2]。自2003-05/2007-04，我们在鼻内镜下行泪囊鼻腔造孔术治疗慢性泪囊炎，取得了良好的效果，现报告如下。

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