泪囊鼻腔吻合术联合泪道置管治疗慢性泪囊炎合并泪道狭窄

Dacryocystorhinostomy with nasolacrimal duct tube placement in treatment of chronic dacryocystitis and lacrimal duct stenosis

摘要:

目的：探讨泪囊鼻腔吻合术联合泪道置管在慢性泪囊炎合并泪道狭窄病例的临床疗效。

方法：对41例41眼慢性泪囊炎合并泪道狭窄的患者，在施行外路泪囊鼻腔手术中同时行泪道探通，留置新型泪道引流管3～6mo，在取管后3mo随访，观察术眼流泪、溢脓及泪道通畅情况。

结果：术后3～6mo取管，冲洗泪道通畅率100%； 取管后3mo复查，38例(93%，38/41)冲洗泪道通畅。冲洗不通3例(7%，3/41)。除8例(20%)下泪小点有轻微撕裂伤外，无其他并发症。

结论：泪囊鼻腔吻合术联合泪道置管治疗慢性泪囊炎合并泪道狭窄，效果明显，所需手术设备简单、直视下操作、手术难度小，是一种适合基层医院使用的较好方法。

Abstract:

AIM: To discuss the clinical efficacy of dacryocystorhinostomy(DCR)associated with lacrimal duct drainage tube placement for treatment of chronic dacryocystitis and lacrimal duct stenosis.

METHODS: For 41 patients with chronic dacryocystitis and lacrimal duct stenosis, DCR has been given. And during DCR operation, lacrimal duct was probed and a new type drainage tube was planted for 3 to 6 months. Three months later after removal of drainage tube, flow of tears, pus excretion and lacrimal duct clearance were observed.

RESULTS: Upon removal of drainage tube, clear lacrimal duct ratio was 100%. Three months after tube removal, rechecking reports 38 cases with clear lacrimal duct(93%, 38/41)and 3 cases with block duct(7%, 3/41). Except for 8 cases with minor lacerations, no other complications were observed.

CONCLUSION: DCR associated with lacrimal duct drainage tube placement is an effective treatment for chronic dacryocystitis and lacrimal duct stenosis. Surgical equipment required a simple, small difficulty operation, operation under direct vision, which makes it a very applicable good method at primary hospital.