鼻泪管逆行置管手术与泪囊鼻腔吻合术的对比观察

Comparative observation of silicone reverse-intubation and dacryocystorhinostomy

摘要:

目的：探讨鼻泪管逆行置管手术治疗慢性泪囊炎、鼻泪道阻塞的临床疗效及其实用价值。 方法：回顾性追踪观察32例行泪囊鼻腔吻合术及35例行鼻泪管逆行置管术的术后3~12mo的疗效。 结果：鼻泪管逆行置管手术组治愈率为94%。鼻腔泪囊吻合术组治愈率为94%。两组疗效经统计学分析差异无显著性，但鼻泪管逆行置管手术操作时间显著小于鼻腔泪囊吻合术（P<0.001），且术中术后并发症少。 结论：鼻泪管逆行置管手术是一种疗效确切、简便、经济，宜于推广的治疗方法。

Abstract:

AIM:To evaluate the clinic value and the curative effects of silicone reverse-intubation in treating chronic dacryocystitis and nasolacrimal duct obstruction. METHODS:Totally 67 cases were studied retrospectively about postoperative curative effect from 3 months to 12 months, including 35 cases on silicone reverse-intubation and 32 cases on dacryocystorhinostomy. RESULTS：The cure rate of the group of the silicone reverse-intubation was 94%, of the dacryocystorhinostomy was 94%. The difference of two groups was not significant(P>0.05)，while the operative time of silicone reverse-intubation was significantly less than that of dacryocystorhinostomy(P<0.001). And there were no severe complications in silicone reverse-intubation group. CONCLUSION：The silicone reverse-intubation is a simple, convenient, economical and effective surgery which is suitable to popularize for treating chronic dacryocystitis and nasolacrimal duct obstruction.