摘要
目的探讨螺旋CT三维成像辅助鼻内镜下泪囊鼻腔吻合术治疗难治性、复发性泪囊炎的临床效果。方法将2014年2月-2016年2月我院收治的难治性、复发性泪囊炎患者64例,根据数字表法将其随机分成两组,其中32例采用鼻内镜下泪囊鼻腔吻合术进行治疗的设为对照组,另32例患者采用螺旋CT三维成像辅助鼻内镜下泪囊鼻腔吻合术进行治疗的设为观察组。对比两组临床治疗效果及并发症的发生情况。结果两组患者实施不同手术后,观察组总有效率（93.75%）与对照组（71.88%）比较明显要高,差异有统计学意义（χ^2=5.38,P〈0.05）;观察组患者手术时间（95.65±26.12）min、手术切口长度（11.12±3.08）mm术中出血量（78.35±13.89）mL和平均住院时间（6.32±1.98）d均显著优于对照组手术时间（142.56±32.56）min、手术切口长度（28.14±8.25）mm术中出血量（150.31±24.12）mL和平均住院时间（10.17±2.85）d,差异有统计学意义（t=6.36、10.93、14.63、6.28,P〈0.05）;观察组患者术后并发症发生率（12.50%）与对照组（65.63%）相比明显要低,差异有统计学意义（χ^2=18.97,P〈0.05）。结论螺旋CT三维成像辅助鼻内镜下泪囊鼻腔吻合术治疗难治性、复发性泪囊炎,直观微创的操作有效缩短了手术时间及术后住院时间,显著提高临床治疗效果,还避免了一系列术后并发症的发生。
Objective To investigate the clinical effect of spiral CT 3D imaging assisted endoscopic dacryocystorhinostomy in treatment of refractory and recurrent lacrimal sac. Methods 64 cases of patients with refractory and recurrent lacrimal sac were randomly divided into two groups according to the number table method, which were cured in our hospital from February 2014 to February 2016. 32 cases were in control group treated with nasal endoscopic dacryocystorhinostomy,and other 32 cases were in observation group treated with spiral CT 3D imaging assisted endoscopic dacryocystorhinostomy.The clinical treatment effect and the occurrence of complications of the two groups were compared. Results After the implementation of different surgery for the patients of the two groups, total effective rate of observation group was 93.75%,which was significantly higher than that of control group with 71.88%. The difference was statistically significant（χ^2=5.38,P〈0.05）. Operation time,operative incision length, amount of bleeding during operation,average length of stay of observation group respectively were（95.65±26.12）min,（11.12±3.08）mm,（78.35±13.89）mL and（6.32±1.98）d,which were significantly better than those of control group respective with（142.56±32.56）min,（28.14±8.25）mm,（150.31±24.12）mL,（10.17±2.85）d. The difference was statistically significant（t=6.36,10.93,14.63,6.28,P〈0.05）.Postoperative complication rate of observation group was 12.50%,which was significantly lower than that of control group with 65.63%. The difference was statistically significant（χ^2=18.97,P〈0.05）. Conclusion Spiral CT 3D imaging assisted endoscopic dacryocystorhinostomy in treatment of refractory and recurrent lacrimal sac can effectively shorten the operation time and length of stay in hospital by intuitive and minimally invasive operation,and significantly improve the clinical treatment effect. It also avoids a series of postoperative complications.
出处
《中国医药科学》
2016年第13期168-170,185,共4页
China Medicine And Pharmacy
