摘要
目的:探讨鼻内窥镜直视下泪囊鼻腔造口术治疗慢性泪囊炎的临床疗效。方法:30例慢性泪囊炎患者,接受了鼻腔内窥镜下的泪囊鼻腔造口术。其中13例合并鼻腔病变(7例鼻中隔偏曲,6例中鼻甲肥大),同期也进行了相应的手术治疗。手术方法:使用0°或30°硬性鼻内窥镜,采用去除骨质、切除泪囊内壁的方法,实施经鼻泪囊鼻腔造口术。结果:30例患者治愈27例(占90％),好转2例(占6.7％),无效1例(占3.3％),有效率达96.7％。结论:鼻内窥镜下泪囊鼻腔造口术,可避免面部切口,术中可检查鼻内解剖状况,进行必要的处理,减少传统手术常见的失败原因,在临床上有广阔的应用前景。
Objective: To study the clinical effect of dacryocystorhinotomy in treating chronic dacrocystitis under intranasal endosocpe. Methods: 30 cases with chronic dacryocystitis were operated with dacryocystoihinotomy under intranasal endoscope and 13 cases of them with deviation of nasal septum or hypertrophy of nasal medium turbinates were treated at same time. Intranasal endoscopic dacryocystorhinosyomy: 0° or 30° rigid intranasal endoscope was used. After surface anesthesia, to make a incision of mucous membraneon on location of lacrimal sac and remove bone first and then remove internal part of lacrimal sac.Results:27 of 30 cases(90%) were cured successfully and 2 cases(6.7%) were improved,only one case(3.3%) was inefficiency. Conclusion: Intranasal endoscopic dacryocystorhinosyomy is effictive therapy for chronic dacryocystitis, its advantages includes no incision on the face and to treat relative nasal diseases at same time.
出处
《眼视光学杂志》
2003年第3期176-177,共2页
Chinese Journal of Optometry & Ophthalmology
基金
浙江省教育厅科研基金(SJ990029)
关键词
慢性泪囊炎
鼻内窥镜
泪囊鼻腔造口术
治疗
疗效
手术方法
intrarasal endoscopic
chronic dacryoystitis/surgery
nasal endoscopic dacrystorhinotomy/methods
