两种海绵治疗泪囊粘液性囊肿的应用对比  

Expansion sponges application for the treatment of dacryocyst mucocele

作　　者：邵毅[1] 裴重刚[1] 廖洪斐[1] 高桂平[1] 梅峰[1] 

机构地区：[1]南昌大学第一附属医院眼科,南昌江西330006

出　　处：《眼外伤职业眼病杂志》2008年第1期61-63,共3页Journal of Injuries and Occupational Diseases of the Eye with Ophthalmic Surgeries

摘　　要：目的观察膨胀海绵、明胶海绵应用于泪囊鼻腔吻合术中的临床疗效。方法将泪囊粘液性囊肿76例(76眼)按照随机的原则分成两组:第1组(膨胀海绵组)38眼,第2组(明胶海绵组)38眼。观察手术后连续1月溢泪及冲洗泪道通畅情况。结果第1组中治愈37眼(97.37%);第2组中治愈35眼(92.11%)。第1组与第2组,差异有统计学意义(P<0.05)。膨胀海绵组与明胶海绵组相比较在术后拔管时没有碰到手术后鼻腔不断渗血及摘除纱条或海绵后大出血的情况。结论膨胀海绵治愈率最高,充填吻合道,对压迫止血、防止粘连、抑制纤维化及减轻吻合口收缩起重要作用。Objective To evaluate the clinical effect of two different filling material on treating dacryocyst mucocele： expansion sponges, compressed gelatin sponges. Methods 76 patients （76 eyes） with dacryocyst mucocele were divided into two groups： group 1 （38 eyes） accepted expansion sponges as a filling material in EXTDCR, group 2 （38 eyes）accepted compressed gelatin sponges. The condition of epiphora and syringing of the lacrimal passage were observed in the first month after the operation continuously. Results Group 1 ： There were 37 eyes cured （97.4%）. Group 2： There were 35 eyes cured （92. 1% ）. There was significant statistical difference between the two groups in the surgical success rate and the operative complications （ P 〈 0.05 ）. In expansion sponges group, there were no hemorrhage cases found after extubation. Conclusions It is believed that the group 1 with higher success rate, fewer operative complications and a high patient satisfaction can be used to simplify and speed up traditional EXTDCR. Expansion sponges play a important function in stopping hemorhage and preventing adhesion and inhibiting fibrous tissue growth and reducing contraction of anastomosis. Expansion sponges is a safe,effective and ideal filling material for treatment of dacryocyst mucocele, which can be cured or improved.

关 键 词：膨胀海绵 明胶海绵 泪囊粘液性囊肿 泪囊鼻腔吻合术 

分 类 号：R777.23[医药卫生—眼科]