三种手术方法治疗泪囊炎疗效分析
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Effects analysis of three kinds of operation methods in treatment of dacryocystitis
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    摘要:

    目的:比较鼻腔泪囊吻合术(EDCR)、鼻内窥镜下鼻腔泪囊造口术(IEDCR)和Nd:YAG激光泪道成形术治疗慢性泪囊炎的疗效,探讨治疗泪囊炎的最佳手术方法。

    方法:随机将182例202眼慢性泪囊炎患者分配为3组,分别采用上述三种手术方法治疗,术后随访 6~ 24mo观察手术疗效。

    结果:EDCR组66眼治愈44眼,好转18眼,有效率为93.9%,IEDCR组91眼治愈67眼,好转17眼,有效率为92.3%,Nd:YAG激光泪道成形术组45眼治愈19眼,好转13眼,有效率为71.1%。EDCR组与IEDCR组之间有效率差异不具有统计学意义(P>0.05),Nd:YAG激光泪道成形术组与其他两组的有效率差异具有统计学意义(P<0.05)。

    结论:EDCR和IEDCR均是治疗慢性泪囊炎的可靠方法,尤其是IEDCR微创,值得推广应用。

    Abstract:

    AIM: To investigate the effects on patients with chronic dacryocystitis treated with three methods: external dacryocystorhinostomy(EDCR), intranasal endoscopic dacryocystorhinostomy(IEDCR)and Nd:YAG laser dacryoplasty, and to explore the best operation method.

    METHODS:Totally 182 cases(202 eyes)were randomly divided into three groups, using EDCR, IEDCR and Nd:YAG laser dacryoplasty respectively, postoperative follow- up lasted 6-24months.

    RESULTS: The success rate of three groups were 93.9%, 92.3% and 71.1% respectively. There was not significant difference between group EDCR and group IEDCR(P>0.05). There was significant difference between group Nd:YAG laser dacryoplasty and other two groups(P<0.05).

    CONCLUSION: EDCR and IEDCR are effective methods. Especially IEDCR is minimal invasive technique and worthy of promotion and application.

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崔玮,姜岚,姜永华,等.三种手术方法治疗泪囊炎疗效分析.国际眼科杂志, 2013,13(7):1510-1511.

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  • 收稿日期:2013-03-06
  • 最后修改日期:2013-06-08
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  • 在线发布日期: 2013-07-01
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