经泪小管二极管激光泪囊鼻腔造口术：长期效果
Transcanalicular dacryocystorhinostomy with diode laser: long-term results.
作者信息
Plaza Guillermo, Beteré Fernando, Nogueira Araceli
机构信息
Department of Otolaryngology, Hospital de Fuenlabrada, Madrid, Spain.
出版信息
Ophthalmic Plast Reconstr Surg. 2007 May-Jun;23(3):179-82. doi: 10.1097/IOP.0b013e31804bdef9.
PURPOSE
To evaluate the effectiveness of transcanalicular dacryocystorhinostomy with diode laser in treatment of epiphora in adults.
METHODS
A prospective, noncomparative, interventional case series of transcanalicular dacryocystorhinostomy in 25 patients presenting with epiphora due to nasolacrimal obstruction. Patient age ranged from 32 to 72 years. Patients were evaluated postoperatively at 12, 24, and 36 months. Patients were evaluated for symptom improvement through a visual analog scale, and patency of osteotomy by lacrimal system irrigation with fluorescein and direct visualization by nasal endoscopy. Success was defined as resolution of epiphora.
RESULTS
Transcanalicular dacryocystorhinostomy was able to re-establish patency of the lacrimal system in 88% of cases after 36 months of surgery. No differences were found between patients older than 65 years and younger patients (chi-square, p > 0.05). Early (12 months) and late (36 months) results were similar (chi-square, p > 0.05).
CONCLUSIONS
In this prospective series, transcanalicular dacryocystorhinostomy was effective in treatment of epiphora in adults with little morbidity.
目的
评估经泪小管二极管激光泪囊鼻腔造口术治疗成人溢泪症的有效性。
方法
对25例因鼻泪管阻塞导致溢泪的患者进行经泪小管泪囊鼻腔造口术的前瞻性、非对照、干预性病例系列研究。患者年龄在32至72岁之间。术后分别在12个月、24个月和36个月对患者进行评估。通过视觉模拟量表评估症状改善情况，通过用荧光素进行泪道冲洗和鼻内镜直接观察评估截骨处的通畅情况。成功定义为溢泪症状消失。
结果
手术36个月后，经泪小管泪囊鼻腔造口术在88%的病例中能够重新建立泪道通畅。65岁以上患者和年轻患者之间未发现差异（卡方检验，p>0.05）。早期（12个月）和晚期（36个月）结果相似（卡方检验，p>0.05）。
结论
在这个前瞻性系列研究中，经泪小管泪囊鼻腔造口术治疗成人溢泪症有效且并发症少。
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