内窥镜下鼻腔内引流联合一期泪道重建治疗急性泪囊炎  

Endoscopic endonasal dacryocyst-nasal drainage combined with lacrimal passage reconstruction for the treatment of acute dacryocystitis

作　　者：石立平[1] 欧阳红专[1] 代敏[1] 陈琳[1] 陈涛龙 

机构地区：[1]株洲三三一爱尔眼科医院,中国湖南省株洲市412100

出　　处：《国际眼科杂志》2012年第1期165-167,共3页International Eye Science

摘　　要：目的:探讨急性泪囊炎的鼻腔内引流术联合一期泪道重建的可行性、安全性及手术时机的选择,明确手术治疗的效果、手术并发症情况为急性泪囊炎患者寻找一种可在急性期快速控制感染,同期重建泪道的方法。方法:回顾我集团医院两年半来收治的急性泪囊炎156例,经内窥镜下行鼻腔内引流联合一期泪道重建手术,术前、术后常规全身使用抗生素控制感染。结果:患者156例经鼻内窥镜下鼻内引流术后,1～2d可控制炎症,随诊6～18mo,失访9例,进入观察病例147例,治愈145例,2例无效,成功率98.6%,无1例手术后发生败血症、骨髓炎、感染扩散等并发症,所有患者出院时血常规均恢复正常。结论:鼻内窥镜下鼻腔内引流术是治疗急性泪囊炎的一种很好的手术方式,可有效的、快速的控制泪囊及周围的炎症,同期行泪道重建后,成功率高、创伤小、恢复快、面部无瘢痕、实用于各年龄段的患者、可同期处理鼻腔疾患,可广泛推广应用。AIM：To investigate the feasibility of endoscopic endonasal dacryocyst-nasal drainage combined with lacrimal passage reconstruction for the treatment of acute dacryocystitis.METHODS：All 156 patients with unilateral acute dacryocystitis,who were treated with endoscopic endonasal dacryocyst-nasal drainage combined with lacrimal passage reconstruction were retrospected.Preoperative and postoperative routine systemic antibiotics was used to control infection.RESULTS：The patients were followed up for 6-18 months,complete data were acquired from 147 patients.The acute inflammations were resolved within 2 days after operation in all patients,with no abnormal findings in the routine blood test before being discharged.The lacrimal passages were successfully reconstructed in 145 patients,failed in 2 patients.CONCLUSION：Endoscopic endonasal dacryocyst-nasal drainage combined with lacrimal passage reconstruction seems to be an effective and safe management for the primary treatment of acute dacryocystitis.

关 键 词：鼻内窥镜 鼻腔内引流术 急性泪囊炎 

分 类 号：R779.6[医药卫生—眼科]