不同术式泪囊鼻腔吻合术治疗慢性泪囊炎

Comparison of effects of two different surgical methods on chronic dacryocystitis

摘要:

目的：比较改良的传统泪囊鼻腔吻合术和经鼻内镜下泪囊鼻腔吻合术治疗慢性泪囊炎的临床疗效。 方法：选取病历资料完整、行手术治疗的慢性泪囊炎患者112 例，其中行改良的传统泪囊鼻腔吻合术患者53 例，行鼻内镜下泪囊鼻腔吻合术患者59 例。 结果：统计经过6~12mo的随访观察，改良的传统泪囊鼻腔吻合术组有效51例，有效率96.2%，经鼻内镜下泪囊鼻腔吻合组有效55例，有效率93.2%，两组差异比较无统计学意义（P＞0.05）。 结论：经鼻内镜下泪囊鼻腔吻合术具有较多优点，避免了面部瘢痕，符合现代微创手术要求；掌握手术指征，其手术效果可接近改良的传统泪囊鼻腔吻合术。

Abstract:

AIM: To compare the effects of modified traditional dacryocystorhinostomy with intranasal endoscopic dacryocystorhinostomy on chronic dacryocystitis. METHODS: Totally 112 cases with complete medical records were studied retrospectively including 53 cases with modified traditional dacryocystorhinostomy(group A) and 59 cases with intranasal endoscopic dacryocystorhinostomy(group B). RESULTS: In group A, after 6-12 months follow-up, 51 of 53 (96.2%) cases had good results; while in group B, 55 of 59 (93.2%) cases had good results. There was no statistical significant difference between the two groups (P ＞0.05). CONCLUSION:The intranasal endoscopic dacryocystorhinostomy is an effective mini-invasive operation with no facial surgical scar and its operative effect can approach that of modified traditional dacryocystorhinostomy if surgical features are grasped well.