Mathieu Alexis, Baillif Stéphanie, Delyfer Marie-Noelle, Longueville Éric, Coste-Verdier Valentine, Lagier Jacques, Alrabiah Abdulrhman, Martel Arnaud
Service d'Ophtalmologie, Centre Hospitalier Universitaire de Bordeaux, F-33000 Bordeaux, France.
Service d'Ophtalmologie, Centre Hospitalier Universitaire de Nice, F-06000 Nice, France.
J Clin Med. 2024 Aug 29;13(17):5129. doi: 10.3390/jcm13175129.
: The aim of the study was to compare dacryocystectomy (DCT) versus dacryocystorhinostomy (DCR) in patients with dacryocystitis in terms of tearing complaints. : We conducted a retrospective and comparative study on 19 patients. The main outcome measure was defined as an improvement by 1 point of the Munk score postoperatively. : A total of 19 patients were included with 10 in the DCR group and 9 in the DCT group. The primary endpoint was reached in 7 (70%) and in 6 (67%) patients in the DCR and DCT groups, respectively ( > 0.999). All DCR procedures were performed under general anesthesia (GA), while almost all DCT procedures were performed under local anesthesia (LA) ( < 0.001). There was a higher need for hospitalization in the DCR group ( < 0.001). : Our preliminary results indicate that DCR is not always the solution in the case of dacryocystitis. DCT is a viable surgical procedure, especially in elderly patients without any tearing complaint and with underlying dry eye disease.
本研究旨在比较泪囊切除术（DCT）与泪囊鼻腔吻合术（DCR）治疗泪囊炎患者时在流泪症状方面的差异。我们对19例患者进行了一项回顾性比较研究。主要结局指标定义为术后蒙克评分提高1分。总共纳入19例患者，其中DCR组10例，DCT组9例。DCR组和DCT组分别有7例（70%）和6例（67%）患者达到主要终点（>0.999）。所有DCR手术均在全身麻醉（GA）下进行，而几乎所有DCT手术均在局部麻醉（LA）下进行（<0.001）。DCR组的住院需求更高（<0.001）。我们的初步结果表明，在泪囊炎病例中，DCR并非总是最佳解决方案。DCT是一种可行的手术方法，尤其适用于无流泪症状且患有潜在干眼症的老年患者。
