Türkcü Fatih Mehmet, Oner Veysi, Taş Mehmet, Alakuş Fuat, Işcan Yalçın
Batman State Hospital, Department of Ophthalmology, Batman, Turkey.
Orbit. 2012 Dec;31(6):383-5. doi: 10.3109/01676830.2012.711884. Epub 2012 Sep 4.
To evaluate the outcomes of external dacryocystorhinostomy (DCR) by using two different patterns of flap anastomosis; one only with anterior flap anastomosis and the other with both anterior and posterior flap anastomosis.
One hundred and sixty-four patients were enrolled in the study. Patients were then randomly divided into two groups as follows: those who underwent DCR with both anterior and posterior flap anastomosis (Group 1) and those who underwent DCR with only anterior flap anastomosis (Group 2). Surgical success was defined as patient satisfaction, disappearance of epiphora and lacrimal patency up to 12 months after surgery.
After 12 months, the DCR with both anterior and posterior flap anastomosis had a success rate of 89.8% (71/79), while the DCR with only anterior flap anastomosis had a success rate of 89.4% (76/85). There was no statistically significant difference between the two groups (p < 0.05).
Anastomosis of posterior flaps does not seem to affect success rate of external DCR. Creating only the anterior anastomosis is technically simpler and does not seem to negatively influence the outcome of DCR surgery.
通过使用两种不同的皮瓣吻合方式评估外路泪囊鼻腔造口术（DCR）的效果；一种仅采用前瓣吻合，另一种采用前瓣和后瓣吻合。
164例患者纳入本研究。然后将患者随机分为两组：接受前瓣和后瓣吻合的DCR患者（第1组）和仅接受前瓣吻合的DCR患者（第2组）。手术成功定义为患者满意、溢泪消失且术后12个月泪道通畅。
12个月后，前瓣和后瓣吻合的DCR成功率为89.8%（71/79），而仅前瓣吻合的DCR成功率为89.4%（76/85）。两组之间无统计学显著差异（p＜0.05）。
后瓣吻合似乎不影响外路DCR的成功率。仅进行前吻合在技术上更简单，且似乎不会对外路DCR手术的结果产生负面影响。
