鼻内窥镜引导下逆行泪道置管术治疗慢性泪囊炎
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Study of retrograde lacrimal intubation on the treatment of chronic dacryocystitis with nasal endoscopic
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    摘要:

    目的:探讨鼻内窥镜引导下逆行泪道置管术治疗慢性泪囊炎的手术技巧与疗效观察。

    方法:对45例52眼慢性泪囊炎患者行逆行泪道置管术,术中在鼻内窥镜显示器引导下查找探针头部并取出金属导丝,术后2~3mo拔管,观察术后疗效。

    结果:所有患者手术顺利进行,术中未见明显鼻黏膜出血等并发症,拔管后随访3~5mo,治愈41眼(79%),好转4眼(8%),无效7眼(13%)。有效率87%。

    结论:在鼻内窥镜引导下行逆行泪道置管术可缩短手术时间,减少鼻黏膜损伤出血,使手术顺利进行。

    Abstract:

    AIM: To evaluate the surgery skill and efficacy of retrograde lacrimal intubation on treatment of chronic dacryocystitis with nasal endoscopic.

    METHODS: Totally 45 patients(52 eyes)with chronic dacryocystitis in this study received retrograde lacrimal intubation by nasal endoscopic, and the tube was removed after placing 2-3 months. The efficacy was observed after surgery.

    RESULTS: All operations on the patients were conducted successfully, and no serious complications during and after surgery. 41 eyes(79%)were cured, 4 eyes(8%)were improved and 7 eyes(13%)had no effective improvement. The effective rate was 87%.

    CONCLUSION: Retrograde lacrimal intubation on treatment of chronic dacryocystitis with nasal endoscopic can make the surgery safer, easier and less injury.

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张磊,贝明珍,黄芳,等.鼻内窥镜引导下逆行泪道置管术治疗慢性泪囊炎.国际眼科杂志, 2014,14(1):169-170.

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  • 收稿日期:2013-10-17
  • 最后修改日期:2013-12-11
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  • 在线发布日期: 2013-12-23
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