经鼻内球囊扩张术治疗鼻内泪囊吻合口部分和完全阻塞。
Endonasal balloon dacryoplasty in partial and complete obstruction of dacryocystorhinostomy ostium.
机构信息
Research Institute of Eye Diseases, Moscow, Russia.
出版信息
Vestn Oftalmol. 2021;137(1):13-20. doi: 10.17116/oftalma202113701113.
UNLABELLED
Despite the success of dacryocystorhinostomy (DCR) in the treatment of lacrimal drainage system (LDS) obliteration and the use of medical and surgical methods to prevent its recurrence, the number of relapses reaches 37%. The main etiological factor leading to this pathology is partial (stenosis) or complete obstruction of the ostium.
PURPOSE
To study the effectiveness of endonasal balloon dacryoplasty in partial or complete obstruction of dacryocystorhinostomy ostium.
MATERIAL AND METHODS
The study involved 122 patients (127 cases) with relapse after endonasal endoscopic dacryocystorhinostomy performed 6 months to 3 years ago to treat partial or complete obstruction of lacrimal sac neck. Patients of the 1 group (41 cases) underwent endonasal balloon dacryoplasty, patients of the 2 group (42 cases) underwent endonasal balloon dacryoplasty with bicanalicular silicone stenting, patients of the 3 group (44 cases) underwent revision endonasal endoscopic dacryocystorhinostomy with bicanalicular silicone stenting.
RESULTS
After 12 months follow-up, positive results were observed in 85.7% of cases with ostium stenosis and 80.0% of cases with complete obstruction of the ostium among group 1 patients; in 86.4% of cases with ostium stenosis and 85.0% of cases with complete obstruction of the ostium among group 2 patients; and in 81.0% of cases with ostium stenosis and 82.6% of cases with complete obstruction of the ostium among group 3 patients.
CONCLUSION
The obtained results give grounds to recommend inclusion of endonasal balloon dacryoplasty in the standards of treatment for patients with partial (stenosis) and complete obliteration of dacryocystorhinostomy ostium.
目的
研究鼻内球囊扩张术治疗鼻内内窥镜下泪囊鼻腔吻合术（DCR）后部分或完全鼻泪管吻合口阻塞的疗效。
材料与方法
本研究纳入了 122 例（127 只眼）患者，这些患者在 6 个月至 3 年前接受过鼻内内窥镜下 DCR 治疗，以治疗部分或完全阻塞的泪囊颈部，术后发生复发。1 组（41 例）患者接受鼻内球囊扩张术，2 组（42 例）患者接受鼻内球囊扩张术联合双腔硅胶管置入术，3 组（44 例）患者接受改良鼻内内窥镜下 DCR 联合双腔硅胶管置入术。
结果
在 12 个月的随访期内，1 组患者中吻合口狭窄患者的阳性结果为 85.7%，完全阻塞患者的阳性结果为 80.0%；2 组患者中吻合口狭窄患者的阳性结果为 86.4%，完全阻塞患者的阳性结果为 85.0%；3 组患者中吻合口狭窄患者的阳性结果为 81.0%，完全阻塞患者的阳性结果为 82.6%。
结论
这些结果表明鼻内球囊扩张术可作为治疗鼻内内窥镜下泪囊鼻腔吻合术吻合口部分（狭窄）和完全阻塞的标准治疗方法之一。
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