鼻内窥镜下鼻腔泪囊造口术治疗慢性泪囊炎的疗效观察  

Clinical study on dacryorhinocystotomy under nasal endoscope in treating chronic dacryocystitis

作　　者：周松[1] 

机构地区：[1]眉山市人民医院五官科,四川眉山620010

出　　处：《成都医学院学报》2011年第2期172-174,共3页Journal of Chengdu Medical College

摘　　要：目的分析探讨鼻内窥镜下鼻腔泪囊造口术治疗慢性泪囊炎的手术技巧及临床疗效。方法回顾总结我院收治慢性泪囊炎患者35例,行鼻内窥镜下泪囊鼻腔造口术。术中采用辅助工具协助泪囊定位,利用脑外科银夹防止造瘘口狭窄。结果经术后6-12个月随访,28例痊愈,4例好转,3例无效,手术成功率达91.4%。结论鼻内镜鼻腔泪囊造口术具有治愈率高、出血少、泪囊定位准确等优点,是治疗慢性泪囊炎的一种有效、微创的方法。Objective to discuss clinical effect and skill of operation on Dacryorhinocystotomy under Nasal Endoscope in Treating Chronic Dacryocystitis.Methods 35 patients were treated by dacryorhinocystotomy under nasal endoscope.Aid tool is used to locate lacrimal sac,and brain surgery silver clip is used to keep stoma of lacrimal sac open well.Results During 6-12 months of follow-up,28 cases were successful,4 satisfied and 3 inefficacy.A success rate are 91.4%.Conclusion Endoscopic transnasal dacryocystorhinostomy has advantages of high cure rate,less blessing and locating lacrimal sac accuratly.It＇s an effective and minimally invasive surgery.

关 键 词：鼻内窥镜 鼻腔泪囊造口 慢性泪囊炎 

分 类 号：R277.23[医药卫生—中医学]