目的:探讨瘘管搔刮术对招收飞行学员对象中先天性泪囊瘘患者的治疗作用。方法:我区2005-03/2008-03招飞体检中,确诊先天性泪囊瘘患者11例13眼,其中5例7眼行瘘管搔刮术治疗,6例6眼行瘘管切除术治疗。结果:患者11例均一次成功,随访16±5.6mo,全部无复发,但行瘘管切除术者有3例因术后遗留瘢痕较大而于复检时被淘汰。结论:瘘管搔刮术是根治招飞对象中先天性泪囊瘘单纯患者的有效方法,可使之符合招飞标准并得以选择性保留,符合新形势下空军"重功能、轻形态"的招飞思想。

AIM:To evaluate the curative effect of the removal of fistula on congenital fistula of lacrimal sac in candidates of flying cadet.METHODS:During pilot selection from March 2005 to March 2008 in our region,5 cases 7 eyes of congenital fistula of lacrimal sac undergoing removal of fistula and 6 cases 6 eyes undergoing fistula excision were analyzed retrospectively.RESULTS:A total of 11 cases were successfully operated.There was no recurrence after 16±5.6 months follow-up.But 3 cases were eliminated in the re-examination due to the larger postoperative scar left by the fistula excision.CONCLUSION:Removal of fistula is an effective method in patients of the flying cadet with congenital fistula of lacrimal sac.It can make the cadet meet the standards and be selectively retained.It confirms to the thought "Weight function,light form" of the pilot selection of Air Force.

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