经眼光导纤维引导鼻内镜下鼻腔泪囊造口术治疗慢性及复发性泪囊炎的临床研究  

The ocular optic fiber used in the endoscopic sinus surgery of dacryocystorhinostomy in the treatment of chronic dacryocystitis and recurrent dacryocystitis

作　　者：黄阳[1,2] 姜鹤群[1,2] 何晓光[3] 杨军[4] 蔡春春[1,2] 张林[1,2] 戚本明[1,2] 

机构地区：[1]昆明医学院附属昆华医院 [2]云南省第一人民医院耳鼻咽喉科,昆明650032 [3]昆明医学院第一附属医院头颈外科 [4]云南省第一人民医院眼科

出　　处：《临床耳鼻咽喉头颈外科杂志》2010年第20期931-934,共4页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

摘　　要：目的:探讨鼻内镜下鼻腔泪囊造口术中鼻内泪囊定位的新方法。方法:68例慢性泪囊炎患者(包括31例复发性泪囊炎)经鼻内镜行鼻腔泪囊造口术,术中将眼内光导纤维投射到鼻腔外侧壁的光斑作为泪囊在鼻腔外侧壁的投影。结果:使用眼内光导纤维引导,泪囊定位准确,进行鼻内镜下鼻腔泪囊造口术时手术时间明显缩短,手术简化。2例2次手术者再阻塞,其余患者随访2年无复发,无并发症发生,成功率为97.06%(66/68)。结论:将眼内光导纤维用于鼻内镜下鼻腔泪囊造口术中对泪囊定位的方法简单可行,值得推广应用。Objective：To explore a method for locating the area of lacrimal sac in dacryocystorhinostomy under endoscopy.Method：Sixty-eight patients were performed dacryocystorhinostomy under endoscopy.Take light spot of ocular optic fiber as the lacrimal sac projection to the lateral wall of the nasal cavity position.Result：With the guiding of ocular optic fiber,lacrimal sac can be located accurately.The operating time of dacryocystorhinostomy under endoscopy was shortened significantly,and the operation procedure was simplified.All patients were followed up for 2 years,only 2 recurrent cases were found.The success rate reach to 97.06%（66/68）.Conclusion：Ocular optical fiber used in locating the lacrimal sac in dacryocystorhinostomy under endoscopy is simple and feasible,and can be widely used.

关 键 词：眼内光导纤维 泪囊炎 引导 定位 

分 类 号：R777.2[医药卫生—眼科]