Knisely Anna, Harvey Richard, Sacks Raymond
aDivision of Rhinology, Skull Base Surgery, St. Vincent's Hospital bSt Vincent's Centre for Applied Medical Research, University of New South Wales, Sydney cAustralian School of Advanced Medicine, Macquarie University, Sydney dConcord General Hospital, University of Sydney, New South Wales, Australia.
Curr Opin Otolaryngol Head Neck Surg. 2015 Feb;23(1):53-8. doi: 10.1097/MOO.0000000000000121.
This study reviews the current body of literature with recent updates and briefly describes the powered endoscopic dacryocystorhinostomy (DCR) approach.
This review highlights recent studies including a meta-analysis of outcomes in DCR approaches, and compares each method to external DCR. When analyzed by method, endoscopic DCR with powered instrumentation success rates are comparable to the external approach, whereas the laser-assisted endoscopic DCR had a lower success rate. Additionally, several studies have demonstrated that long-term results in powered endoscopic DCR compare favorably with external approach in both primary and revision cases.
Endoscopic DCR with powered instrumentation is comparable to external DCR and also allows simultaneous adjunctive procedures while avoiding external scar. The powered endoscopic approach to DCR and methods to optimize success are described.
本研究回顾了当前文献并介绍了最新进展，简要描述了动力式内镜下泪囊鼻腔造口术（DCR）的方法。
本综述重点介绍了近期研究，包括对DCR手术结果的荟萃分析，并将每种方法与外部DCR进行比较。按方法分析时，使用动力器械的内镜DCR成功率与外部手术相当，而激光辅助内镜DCR的成功率较低。此外，多项研究表明，动力式内镜DCR的长期效果在原发性和翻修病例中均优于外部手术。
使用动力器械的内镜DCR与外部DCR相当，还允许同时进行辅助手术，同时避免外部瘢痕。本文描述了动力式内镜下DCR的方法及优化成功率的方法。
