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卡莱夫-霍尔维希法外部泪囊鼻腔造口术的短期和长期结果(作者译)

[Short and long-term results after external Dacryocystorhinostomy by Kaleff-Hollwich's method (author's transl)].

作者信息

Busse H, Promesberger A, Promesberger H

出版信息

Klin Monbl Augenheilkd. 1977 Dec;171(6):986-9.

PMID:606971
Abstract

By means of a short and long-term study the recanalising effect of Kaleff-Hollwich's (1977) Dacryocystorhinostomy was determined and compared with Ohm's (1921) and Dupuy-Dutemps (1921) methods. With both procedures a high percentage (75-85) of permanent patency of the tear ducts is obtained. With Kaleff-Hollwich's method a practically continuous mucosa anastomosis can be formed. Stenosis by insufficiency of the canaliculi can be avoided in the opinion of the authors by exact refixing of the medial palpebral ligament. Information in the literature of patency in over 90 percent of cases is revealed after critical evaluation in the great majority of such reports as post-operative ability to rinse the tear ducts in one direction and give no indication of the end result.

摘要

通过一项短期和长期研究,确定了卡莱夫 - 霍尔维希(1977年)泪囊鼻腔造口术的再通效果,并与欧姆(1921年)和迪皮伊 - 迪唐普(1921年)的方法进行了比较。两种手术方法都能使泪道获得较高比例(75 - 85%)的永久性通畅。采用卡莱夫 - 霍尔维希的方法可以形成几乎连续的黏膜吻合。作者认为,通过精确重新固定睑内侧韧带,可以避免因泪小管功能不全导致的狭窄。在对绝大多数此类报告进行批判性评估后发现,文献中超过90%的病例通畅信息是关于术后泪道单向冲洗的能力,而未表明最终结果。

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