Muscatello L, Giudice M, Spriano G, Tondini L
Department of Otorhinolaryngology, Hospital of Varese, Varese, Italy.
Acta Otorhinolaryngol Ital. 2005 Aug;25(4):209-13.
Data are reported on a series of 52 endoscopic procedures of dacryocystorhinostomy, performed in the Department of Otorhinolaryngology of the Hospital of Varese, between May 1999 and February 2003. The study population comprised 42 patients (32 female, 10 male. mean age 57 and 51 years, respectively) with naso-lacrimal obstruction. In all cases, pre-operative diagnosis consisted in irrigation of the lacrimal pathways, confirmed on dacryocystography; in selected cases, an additional computed tomography examination was carried out. All procedures were performed under general anaesthesia and surgical times were recorded; mean time for primary dacryocystorhinostomy was 30 minutes. A silicone tube was inserted in all patients for a period of 3 months. The procedure was successful in 81% of primary dacryocystorhinostomy cases and in 75% of revision dacryocystorhinostomy cases. Personal clinical and surgical experience, focusing on surgical techniques used in dacryocystorhinostomy, is described.
本文报告了1999年5月至2003年2月期间在瓦雷泽医院耳鼻喉科进行的一系列52例泪囊鼻腔吻合术的内镜手术数据。研究对象包括42例鼻泪管阻塞患者（32例女性，10例男性，平均年龄分别为57岁和51岁）。所有病例术前诊断均通过泪道冲洗，并经泪囊造影证实；部分病例还进行了计算机断层扫描检查。所有手术均在全身麻醉下进行，并记录手术时间；初次泪囊鼻腔吻合术的平均时间为30分钟。所有患者均插入硅胶管，留置3个月。初次泪囊鼻腔吻合术的成功率为81%，泪囊鼻腔吻合术修复的成功率为75%。本文描述了个人临床和手术经验，重点介绍了泪囊鼻腔吻合术中使用的手术技术。
