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[鼻内镜下泪囊鼻腔造口术:结果及与外部入路相比的优势]

[Endoscopic nasal dacryocystorhinostomy: results and advantages over the external approach].

作者信息

Küpper Daniel Salgado, Demarco Ricardo Cassiano, Resende Renato, Anselmo-Lima Wilma Terezinha, Valera Fabiana Cardoso P, Moribe Iracema

出版信息

Braz J Otorhinolaryngol. 2005 May-Jun;71(3):356-60. doi: 10.1016/s1808-8694(15)31335-5. Epub 2005 Dec 14.

Abstract

acryocystorhinostomy (DCR) is a procedure used to create a lachrymal drainage pathway into the nasal cavity in order to reestablish the permanent drainage of a previously obstructed excretory system. : to report our results obtained with endoscopic DCR technique, describing its advantages and disadvantages : Historic cohort. : we retrospectively analyzed thirty-two dacryocystorhinostomies performed at the Otorhinolaryngology Discipline from March 2002 to January 2004 on patients with post-lachrymal sac obstruction confirmed by dacryocystorhinography (DCG). In all cases, the patients were submitted to probing with Crawford probe. : surgery was bilateral in ten of the twenty-two analyzed patients, totaling thirty-two procedures, twenty-nine of which were primary surgeries and three revision procedures after unsuccessful external DCR. Our success rate was 79.12%. : endoscopic DCR proved to be a safe and low morbidity technique, which also avoids facial scars and maintains the mechanism of the lachrymal pump, with results similar to those obtained with external DCR.

摘要

泪囊鼻腔造口术(DCR)是一种用于创建通向鼻腔的泪液引流通道的手术,目的是重新建立先前阻塞的排泄系统的永久性引流。报告我们采用内镜下DCR技术取得的结果,描述其优缺点。历史队列研究。我们回顾性分析了2002年3月至2004年1月在耳鼻咽喉科对经泪囊鼻腔造影(DCG)证实有泪囊阻塞的患者进行的32例泪囊鼻腔造口术。所有病例中,患者均接受了Crawford探针探查。在22例分析患者中,10例为双侧手术,共32例手术,其中29例为初次手术,3例为外路DCR失败后的翻修手术。我们的成功率为79.12%。内镜下DCR被证明是一种安全且发病率低的技术,它还避免了面部瘢痕并维持了泪泵机制,结果与外路DCR相似。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a5c9/9450531/c49680e9375f/gr1.jpg

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