摘要
目的评价鼻外泪囊鼻腔吻合术(external dacryocystorhinostomy,EDCR)和内镜下泪囊鼻腔造孔术(in-tranasal endoscopic dacryocystorhinostomy,IEDCR)治疗慢性泪囊炎的疗效。方法采用回顾性分析,对2007年1月～2009年6月在我院行手术治疗的82例慢性泪囊炎分析,所有患者随访3～12个月。结果 82例患者,36例接受IEDCR术,46例接受EDCR术,IEDCR组治愈23例,好转7例,无效6例,有效率83%(30/36);EDCR组治愈27例,好转12例,无效7例,有效率85%(39/46)。经统计分析,P=0.858>0.05,两组疗效差异无统计学意义。结论两种术式治疗慢性泪囊炎疗效差异无统计学意义,但IEDCR因为微创,不影响美容,是一种值得推广的治疗方法 。
Objective To evaluate the curative effect of external dacryocystorhinostomy（EDCR） and intranasal endoscopic dacryocystorhinostomy （IEDCR） for chronic dacryocystitis.Methods We retrospectively analyzed 82 patients with chronic dacryocystisis at our hospital,from January of 2007 to January of 2009.All patients were followed up for 3～12 months.Results 36 of the 82 patients received IEDCR and the other 46 patients received EDCR.In IEDCR group,23 cases were cured,7 cases were improved and 6 cases had no improvement,the effective rate was 83%（30/36）.In EDCR group,27 cases were cured,12 cases were improved and in 7 cases no improvement was observed,the effective rate was 85%（39/46）.NO significant difference was found between the two groups（P0.05）.Conclusion There was no significant difference in the curative effect between EDCR and IEDCR.But the IEDCR is a valuable treatment as it is a minimally invasive surgery and no cosmetic defect.
出处
《四川医学》
CAS
2010年第7期909-911,共3页
Sichuan Medical Journal
关键词
泪囊炎
内窥镜
泪囊鼻腔吻合术
dacryocystitis
endoscope
dacryocystorhinostomy
