鼻泪管阻塞的治疗  

Treatment of nasolacrimal duct obstruction

作　　者：范先群[1] 肖彩雯[1] 

机构地区：[1]上海交通大学医学院附属第九人民医院眼科,200011

出　　处：《眼科》2009年第6期374-376,共3页Ophthalmology in China

基　　金：上海市重点学科建设项目(S30205);上海市优秀学科带头人计划(07XD14020);上海市自然科学基金项目(08zr1412900)

摘　　要：泪囊鼻腔吻合术是治疗鼻泪管阻塞最常用、最经典的方法。近年来,随着内镜技术的发展和对泪液引流机制认识的深入,鼻泪管阻塞的治疗方法由经皮泪囊鼻腔吻合术发展为内镜泪囊鼻腔吻合术、泪道激光和置管、泪道内镜疏通术和泪道旁路手术等。内镜、激光和微创技术的应用,使鼻泪管阻塞的治疗手段多样,治疗成功率高、创伤小、复发率低、并发症少、恢复快。Dacryocystorhinostomy （DCR） has been regarded as the gold standard for the treatment of nasal lacrimal duct obstruction for over a hundred years. Currently, the treatment of nasolaerimal duct obstruction has grown along with the advances in endoscopic techniques developing and in-depth understanding of the mechanisms of lacrimal drainage. Endoscopic daeryocystorhinostomy, endolaerimal laser and intubation, lacrimal endoscopic recanalization and lacrimal bypass surgery have been employed to substitute for external DCR as treatment for nasolaerimal duct obstruction. The endoscope, laser and minimally invasive techniques provide higher successful rates with minimal wounds, lower rates of both recurrence and complications and allow quicker recovery after surgery.

关 键 词：鼻泪管阻塞/手术学 

分 类 号：R779.6[医药卫生—眼科]