[内镜下泪囊鼻腔造口术对不同泪道阻塞的影响]
[The effect of endoscopic dacryocystorhinostomy on different lacrimal duct obstruction].
作者信息
Wang Xiangdong, Chen Xinjun, Hao Yun, Wang Yue, Zhao Jinming, Sun Hua, Zheng Ming, Zhang Luo
机构信息
Department of Otolaryngology Head and Neck Surgery，Beijing Tongren Hospital，Capital Medical University，Key Laboratory of Otolaryngology Head and Neck Surgery（Capital Medical University），Ministry of Education，Beijing，100730，China.
Beijing Institute of Otolaryngology，Beijing Key Laboratory of Nasal Diseases.
出版信息
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2021 Aug;35(8):677-682. doi: 10.13201/j.issn.2096-7993.2021.08.002.
To observe the effect of endoscopic dacryocystorhinostomy on different lacrimal duct obstruction. Eighty eyes with the lacrimal passage obstruction were collected, and treated with endoscopic dacryocystorhinostomy. Meanwhile, the abnormal structures of the nasal cavity were corrected and the pathological changes of the nasal cavity and sinuses were treated. The patients were followed up and the curative effect was observed. Follow-up period ranged from 10 months to 8 years. The first operation cure rate was 78.8%, the effective rate was 17.5%, the ineffective rate was 3.8%, and the success rate was 96.2%. Two of the 3 eyes failed in first operation were cured by reoperation. The total success rate was 98.8%. Endoscopic dacryocystorhinostomy can be used as a routine operation in the treatment of different lacrimal duct obstruction. The structural abnormalities and pathological changes of the nasal cavity and paranasal sinuses can be treated simultaneously. Combined with postoperative treatment and follow-up, long-term curative effect can be obtained.
观察鼻内镜下泪囊鼻腔造口术治疗不同类型泪道阻塞的效果。收集80例泪道阻塞患者的患眼，行鼻内镜下泪囊鼻腔造口术治疗，同时矫正鼻腔异常结构，处理鼻腔及鼻窦病变。对患者进行随访并观察疗效。随访时间为10个月至8年。首次手术治愈率为78.8%，有效率为17.5%，无效率为3.8%，成功率为96.2%。首次手术失败的3眼中，2眼经再次手术治愈。总成功率为98.8%。鼻内镜下泪囊鼻腔造口术可作为治疗不同类型泪道阻塞的常规手术，可同时处理鼻腔及鼻窦的结构异常和病变，结合术后治疗及随访，可获得长期疗效。
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