内镜下泪囊鼻腔造口术：如何提高手术效果。
Endoscopic DCR: How To Improve The Results.
作者信息
Dubey Satya Prakash, Munjal Vishal Rattan
机构信息
L.N. Medical College & Research Center and J.K. Hospital, Bhopal, India.
Sri Aurobindo Medical College & PG Institute, Indore-Ujjain Highway, Indore, Madhya Pradesh India.
出版信息
Indian J Otolaryngol Head Neck Surg. 2014 Jun;66(2):178-81. doi: 10.1007/s12070-014-0702-x. Epub 2014 Feb 4.
Since Toti described the initial dacryocystorhinostomy (DCR) operation in 1904 many technical modifications have evolved (Becker in Ophthalmic Surg 19:419-427, 1988). Overall, three groups of procedures are currently practised; external DCR, endoscopic DCR with contact laser, and surgical endoscopic DCR without laser (Woog et al. in Am J Ophthalmol 116:1-10, 1993; Jokinen and Karja in Arch Otolaryngol 100:41-44, 1974. Many factors influence the outcome of these different approaches. The purpose of this study was to improve the long term surgical outcome in endonasal DCR. A retrospective analysis of more than 1,500 patients, who underwent primary endoscopic DCR, was done and specific small modifications were identified and applied in the next 108 cases showing an improvement in the results.
自1904年托蒂描述了首例泪囊鼻腔吻合术（DCR）以来，该手术在技术上有了许多改进（贝克尔，《眼科手术》，第19卷，第419 - 427页，1988年）。总体而言，目前实施的手术有三类：外部泪囊鼻腔吻合术、接触激光内镜下泪囊鼻腔吻合术以及非激光手术内镜下泪囊鼻腔吻合术（伍格等人，《美国眼科杂志》，第116卷，第1 - 10页，1993年；约基宁和卡尔亚，《耳鼻喉科文献》，第100卷，第41 - 44页，1974年）。许多因素会影响这些不同手术方式的效果。本研究的目的是改善鼻内镜下泪囊鼻腔吻合术的长期手术效果。我们对1500多例行初次内镜下泪囊鼻腔吻合术的患者进行了回顾性分析，确定了一些具体的小改进措施，并将其应用于接下来的108例患者，结果显示效果有所改善。
Zotero 插件