内镜与外路泪囊鼻腔吻合术联合 Griffiths 鼻腔导管治疗的疗效比较。

Comparison of outcomes between endoscopic and external dacryocystorhinostomy with a Griffiths nasal catheter.

机构信息

Otolaryngology Department, Istanbul Education and Research Hospital, Nafiz Gurman Sokak No: 2 Fatih, Istanbul, Turkey.

出版信息

J Otolaryngol Head Neck Surg. 2011 Jun;40(3):216-20.

Abstract

OBJECTIVE

The purpose of this study was to give clinicians definitive and accurate information on the success of the Griffiths nasal catheter (Beaver Visitec International, Inc., Waltham, MA) in dacryocystorhinostomy as an alternative to silicone tubing.

DESIGN

A prospective clinical study.

SETTING

A community teaching hospital.

METHODS

Seventy-seven patients underwent endoscopic dacryocystorhinostomy (ENDCR) and 58 underwent external dacryocystorhinostomy (EXDCR) in a standardized fashion by the same surgical team between 2007 and 2009. A Griffiths nasal catheter (8 mm) made of silicone was placed into the lacrimal sac in all cases.

RESULTS

In primary ENDCR group, the overall success rate was 87.1% (61 cases) and the failure rate was 12.9% (9 cases), whereas in the EXDCR group, the success rate was 86.8% (46 cases) and the failure rate was 13.2% (7 cases). Of the 16 failed cases, anatomic fistula obstruction by granulation formation was found in 3 cases from the ENDCR group and 3 from the EXDCR group, all within 1 to 3 months, while the catheter was intact.

CONCLUSIONS

The Griffiths nasal catheter technique is cheaper, easy to perform, and made of a suitable silicone material and can be used easily and safely in both ENDCR and EXDCR.

摘要

目的

本研究旨在为临床医生提供关于格里菲斯鼻腔导管（Beaver Visitec International，Inc.，马萨诸塞州沃尔瑟姆）在鼻内窥镜下泪囊鼻腔造口术（ENDCR）中替代硅胶管的成功率的确切信息。

设计

前瞻性临床研究。

地点

社区教学医院。

方法

2007 年至 2009 年，同一手术团队以标准化方式对 77 例患者进行了内镜下泪囊鼻腔造口术（ENDCR），对 58 例患者进行了外路泪囊鼻腔造口术（EXDCR）。所有患者均在泪囊内放置了硅胶制成的格里菲斯鼻腔导管（8 毫米）。

结果

在原发性 ENDCR 组中，总体成功率为 87.1%（61 例），失败率为 12.9%（9 例），而在 EXDCR 组中，成功率为 86.8%（46 例），失败率为 13.2%（7 例）。在 16 例失败病例中，3 例来自 ENDCR 组和 3 例来自 EXDCR 组的解剖性瘘管阻塞是由于肉芽形成所致，均在 1 至 3 个月内发现，而导管完好无损。