泪囊鼻腔吻合术后复发的原因分析和再次手术探讨  

Analysis of reason of recurrent of dacryocystorhinostomy and re-operation

作　　者：方建华[1] 吴鸥[1] 

机构地区：[1]安徽省池州市第二人民医院眼科,247000

出　　处：《实用防盲技术》2011年第3期117-118,120,共3页Journal of Practical Preventing Blind

摘　　要：目的分析泪囊鼻腔吻合术术后复发的原因并探讨再次手术的可行性。方法对11例泪囊鼻腔吻合术术后复发的患者予以再手术治疗,随访半年至一年。结果复发原因:泪囊未完全切开2例,骨孔过小或位置错误4例,吻合腔或骨孔内肉芽组织增生堵塞5例;10例术后流泪消失,泪道冲洗通畅,占90.91%,1例流泪减轻,泪道冲洗基本畅通,占9.09%。结论泪囊鼻腔吻合术术后复发患者可以通过再次手术重建泪道,是治疗泪囊鼻腔吻合术术后复发的有效方法之一。Objective To study of reason of recurrent of dacryocystorhinostomy and evaluation of re-operation.Methods 11 patients with recurrent dacryocystitis after dacryocystorhinostomy were performed with operation and the follow-up varied from five months to one year.Results The reason of recurrent：lacrimal sac was not cut through in 2 case;bone hole was too small or in wrong position in 4 cases;tissue proliferation in 5 cases.10 patients（90.91%） had no epiphora after surgery and the lacrimal passage are irrigated affluently。1 patient（9.09%） had no epiphora but a conctrictive lacrimal passage.Conclusions Re-operation is an effective way to the recurrent patients after dacryocystorhinostomy.

关 键 词：泪囊鼻腔吻合术 复发 再次手术 

分 类 号：R779.6[医药卫生—眼科]