鼻内镜下改良鼻泪管逆行插管和鼻腔泪囊造孔术疗效比较  

Comparison of modified retrograde intubation into nasolacrimal duct and dacryocystorhinostomy with nasal endoscopy

作　　者：王斌[1] 朱兴中[2] 孙军[2] 张云[1] 李长兵[1] 孙玉亮[1] 

机构地区：[1]中国江苏省连云港市东方医院眼科,222042 [2]中国江苏省连云港市东方医院耳鼻咽喉科,222042

出　　处：《国际眼科杂志》2013年第2期390-391,共2页International Eye Science

摘　　要：目的:比较鼻内镜下改良鼻泪管逆行插管术与鼻腔泪囊造孔术对慢性泪囊炎的疗效。方法:回顾性分析51例53眼慢性泪囊炎患者鼻腔内窥镜下手术治疗效果,其中经鼻内镜下行鼻泪管逆行插管31例32眼,采用鼻腔泪囊造孔术治疗20例21眼,随访6mo。结果:鼻内镜下鼻泪管逆行插管术:治愈15眼,好转12眼,无效5眼,治愈率47%,有效率84%;鼻内镜下鼻腔泪囊造孔术:治愈14眼,好转5眼,无效2眼,治愈率67%,有效率90%;两组治愈率、有效率比较差异无统计学意义。结论:鼻内镜下改良鼻泪管逆行插管和鼻腔泪囊造孔术均有微创、愈合快、疗效好等优点,其疗效相近,鼻内镜下逆行插管术更简便易行、价格低、容易推广。AIM： To compare the effect of nasal endoscopic modified nasolacrimal duct retrograde intubation and dacryocystorhinostomy in treatment of chronic dacryocystitis. METHODS： A retrospective analysis of 51 cases （ 53 eyes ） of chronicdacryocystitis patients with nasal endoscopic operation. Intubation group had 31 cases 32 eyes, the dacryocystorhinostomy group had 20 cases 21 eyes, the follow-up was half a year. RESULTS： Endoscopic nasolacrimal tube retrograde intubation： 15 eyes were cured, 12 improved, invalid 5, the cure rate was 47%, with an efficiency of 84%; endoscopic dacryocystorhinostomy： cured 14, improved 5, invalid 2, the cure rate was 67%, with an efficiency of 90% ; there was no obvious difference. CONCLUSION：Endoscopic modified nasolacrimal duct retrograde intubation and endoscopic dacryocystorhinostomy are minimally invasive, rapid healing, good effect, its efficacy is similar, endoscopic retrograde intubation is simple, low price, easy popularization.

关 键 词：鼻内窥镜 泪道插管术 逆行 泪囊鼻腔造孔术 慢性泪囊炎 

分 类 号：R779.6[医药卫生—眼科]