D'Ecclesia A, Cocchi R F, Giordano F, Mazzilli E, Longo C, Laborante A
Ophthalmology Unit, Hospital Casa Sollievo della Sofferenza - IRCCS, San Giovanni Rotondo (FG), Italy.
Clin Ter. 2014;165(6):e391-4. doi: 10.7417/CT.2014.1779.
We present our experience in endoscopic laser assisted dacryocystorhinostomy (DCR) analyzing the results obtained with a new technique that involves placing bicanalicolar silicone stent more Teflon tube, in combination with paraseptal silastic sheet.
In our study 49 of 57 patients (85%) at a mean follow up of at least 12 months have not reported epiphora or more episodes of acute dacryocystitis.
49 out of the 57 patients (85%) in our group reported no additional epiphora or episodes of acute dacryocystitis.
Endoscopic DCR is currently the gold standard for sac and post-sac stenosis given the minimal invasiveness of the procedure and the long-term results that appear comparable to those obtained with extrinsic DCR. The principal problem is cicatricial stenosis that can occlude the stoma over time.
我们介绍了内镜激光辅助泪囊鼻腔造口术（DCR）的经验，分析了一种新技术的结果，该技术涉及放置比双泪小管硅胶支架更多的聚四氟乙烯管，并结合鼻中隔旁硅橡胶片。
在我们的研究中，57例患者中有49例（85%）平均随访至少12个月，未报告溢泪或更多急性泪囊炎发作。
我们组57例患者中有49例（85%）未报告额外的溢泪或急性泪囊炎发作。
鉴于该手术的微创性以及长期结果似乎与外部DCR相当，内镜DCR目前是泪囊和泪囊后狭窄的金标准。主要问题是瘢痕性狭窄，随着时间的推移可能会阻塞造口。
