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[泪腺疾病检查的跨学科诊断方法]

[Interdisciplinary diagnostics for examination of lacrimal disorders].

作者信息

Domeier E, Kühnemund M, Wilhelm K H

机构信息

Universitäts-Augenklinik Bonn, Ernst-Abbe-Strasse 2, 53127 Bonn, Deutschland.

出版信息

Ophthalmologe. 2008 Apr;105(4):351-61. doi: 10.1007/s00347-008-1715-1.

Abstract

The ophthalmologist is the primary consultant for patients with disorders of the lacrimal duct. The basic examination includes inspection and slit-lamp microscopy of the ocular surface and its adnexa as well as irrigation of the lacrimal pathway. For further treatment, interdisciplinary examination methods offer precise diagnostic findings. Good cooperation among ophthalmologists, otorhinolaryngologists, and radiologists can be highly beneficial for the patient. Rhinogenic causes of lacrimal obstruction can be found by rhinoscopy and nasal endoscopy. Further information is gained by radiologic imaging, which offers dynamic pictures and a good overview of the lacrimal system and neighbouring structures. Lacrimal endoscopy allows direct viewing of the causes of stenosis. These precise and complete diagnostics make consultation easier, especially regarding new minimally invasive surgical techniques.

摘要

眼科医生是泪道疾病患者的主要会诊医生。基本检查包括对眼表及其附属器进行检查和裂隙灯显微镜检查,以及泪道冲洗。对于进一步的治疗,多学科检查方法能提供精确的诊断结果。眼科医生、耳鼻喉科医生和放射科医生之间的良好合作对患者非常有益。泪道阻塞的鼻源性病因可通过鼻镜检查和鼻内镜检查发现。通过放射影像学可获得更多信息,其能提供泪道系统及邻近结构的动态图像和全面概况。泪道内镜可直接观察狭窄的病因。这些精确而全面的诊断使会诊更加容易,尤其是在涉及新的微创外科技术方面。

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