摘要
目的:分析Lund-Mackay评分预测慢性泪囊炎合并慢性鼻窦炎同期手术疗效的作用。方法:将我院2016-05/2019-03就诊的慢性泪囊炎合并慢性鼻窦炎的患者共92例92眼纳入前瞻性单盲研究,根据Lund-Mackay评分将患者病情分为轻(22例)、中(34例)、重(36例)三组,每组随机分为同期手术组和分期手术组。比较同期手术与分期手术的手术疗效和并发症情况。结果:轻度和中度慢性泪囊炎合并慢性鼻窦炎患者,同期和分期手术手术有效率、并发症均无差异(P>0.05);重度慢性泪囊炎合并慢性鼻窦炎患者,分期手术有效率高于同期手术(94%vs 61%,P<0.05),并发症发生率低于同期手术(P<0.05)。结论:根据Lund-Mackay评分,轻度和中度慢性泪囊炎合并慢性鼻窦炎患者建议同期手术,重度患者建议分期手术。
·AIM:To explore the value of Lund-Mackay score in the surgical treatment of chronic dacryocystitis with chronic sinusitis.·METHODS:Totally 92 cases(92 eyes)of chronic sinusitis with chronic dacryocystitis in our hospital from May 2016 to March 2019 were included in the prospective,single-blind study.According to Lund-Mackay score,the patients were divided into three groups:mild(22 cases),moderate(34 cases)and serious(36 cases).Each group was randomly divided into simultaneous operation group and phased operation group.We compared the operative effect and complications of simultaneous and phased operations.·RESULTS:In patients with mild and moderate chronic sinusitis combined with chronic dacryocystitis,there was no statistical difference in the efficiency and complications between simultaneous and phased operations(P>0.05).In patients with severe chronic sinusitis combined with chronic dacryocystitis,the efficiency of phased operations was higher than that of the simultaneous surgery(94%vs 61%,P<0.05),and the complications were lower than that of the simultaneous surgery(P<0.05).·CONCLUSION:According to Lund-Mackay score,patients with mild to moderate chronic sinusitis and chronic dacryocystitis are advised to undergo simultaneous surgery,while patients with severe rhinosinusitis are advised to undergo phased surgery.
作者
苏锐锋
赵敏
卢姗姗
齐智伟
谭小波
苏畅
Rui-Feng Su;Min Zhao;Shan-Shan Lu;Zhi-Wei Qi;Xiao-Bo Tan;Chang Su(Department of Ophthalmology, the Affiliated Hospital of Chengde Medical College, Chengde 067000, Hebei Province, China)
出处
《国际眼科杂志》
CAS
北大核心
2020年第6期1087-1090,共4页
International Eye Science
基金
河北省自然科学基金项目(No.H2015406054)。
