新疆维吾尔族慢性泪囊炎鼻内镜与传统吻合术的比较

Comparison of dacryocystorhinostomy with endoscope and traditional dacryocystorhinostomy on chronic dacryocystitis in Xinjiang Uygurs

摘要:

目的：比较鼻内镜下鼻腔泪囊造孔术与传统泪囊鼻腔吻合术的疗效。

方法：选取新疆医科大学第五附属医院眼科2010-06/2012-05收治的维吾尔族慢性泪囊炎患者，其中传统泪囊鼻腔吻合术组16眼，鼻内镜手术组12眼。术后检查泪道通畅及吻合口情况。

结果：传统泪囊鼻腔吻合术组有效率93.8%，鼻内镜手术组有效率75.0%，两组有效率进行比较，经χ²检验，差异无统计学意义(P>0.05)。

结论：两种手术方式治疗慢性泪囊炎，在恢复泪道通畅功能方面都取得了满意的效果。鼻内镜下行鼻腔泪囊吻合术具有手术精细准确、损伤小、无面部瘢痕、可同时处理引起鼻泪管阻塞的鼻腔疾病等优点，且设计更为合理，符合现代外科手术微创要求。

Abstract:

AIM: To compare the effects of endoscopic dacryocystorhinostomy with traditional dacryocystorhinostomy on chronic dacryocystitis in Xinjiang Uygurs.

METHODS: Twenty-eight Uygurs eyes of chronic dacryocystitis selected from the Ophthalmology Department of the Fifth Teaching Hospital of Xinjiang Medical University between June 2010 and May 2012 were studied retrospectively, including 12 eyes underwent endoscopic dacryocystorhinostomy and 16 eyes underwent traditional dacryocystorhinostomy.

RESULTS:Nine eyes were cured(75.0%)on endoscopic dacryocystorhinostomy and 15 eyes were cured(93.8%)on traditional dacryocystorhinostomy. There was no statistical significance between two groups(P>0.05).

CONCLUSION: The effect of endoscopic dacryocystorhinostomy is similar with that of traditional dacryocystorhinostomy. It is an effective mini-invasive operation with no facial surgical scar.