Mourya Deepesh, Rijal Roshija Khanal
a Akhand Jyoti Eye Hospital , Mumbai , India.
b Lumbini Eye Institute , Pupandehi , Nepal.
Orbit. 2017 Dec;36(6):370-374. doi: 10.1080/01676830.2017.1337189. Epub 2017 Aug 16.
This article compares the efficacy of transcanalicular laser assisted dacryocystorhinostomy (TL DCR) with conventional external dacryocystorhinostomy (Ex DCR). All patients were randomly divided into two groups - Group A included patients who underwent TL DCR and Group B included patients who underwent Ex DCR. 168 operations were done in a total of 163 patients; 79 patients in group A and 84 patients in group B. The overall success rate was 90.12% in group A and 95.40% in group B. The mean total surgical time was 17.41 min in group A and 49.49 min in group B. The duration of stay in hospital was about 3 hours for group A and about 48 hours for group B. Intra and post operative complications were more in group B than in group A. TL DCR can offer a minimally invasive technique with comparable results and better patient satisfaction than Ex DCR.
本文比较了经泪小管激光辅助泪囊鼻腔造口术（TL DCR）与传统外部泪囊鼻腔造口术（Ex DCR）的疗效。所有患者随机分为两组——A组为接受TL DCR的患者，B组为接受Ex DCR的患者。163例患者共进行了168次手术；A组79例患者，B组84例患者。A组的总体成功率为90.12%，B组为95.40%。A组平均总手术时间为17.41分钟，B组为49.49分钟。A组住院时间约为3小时，B组约为48小时。B组术中和术后并发症比A组更多。与Ex DCR相比，TL DCR可以提供一种微创技术，效果相当且患者满意度更高。
