三种手术方法治疗泪囊炎疗效分析  

Effects analysis of three kinds of operation methods in treatment of dacryocystitis

作　　者：崔玮[1] 姜岚[1] 姜永华[2] 席婕[3] 

机构地区：[1]青岛阜外心血管病医院五官科,中国山东省青岛市266034 [2]中国山东省即墨市第二人民医院眼科,266214 [3]陕西省人民医院耳鼻喉科,中国陕西省西安市710068

出　　处：《国际眼科杂志》2013年第7期1510-1511,共2页International Eye Science

摘　　要：目的:比较鼻腔泪囊吻合术(EDCR)、鼻内窥镜下鼻腔泪囊造口术(IEDCR)和Nd:YAG激光泪道成形术治疗慢性泪囊炎的疗效,探讨治疗泪囊炎的最佳手术方法。方法:随机将182例202眼慢性泪囊炎患者分配为3组,分别采用上述三种手术方法治疗,术后随访6～24mo观察手术疗效。结果:EDCR组66眼治愈44眼,好转18眼,有效率为93.9%,IEDCR组91眼治愈67眼,好转17眼,有效率为92.3%,Nd:YAG激光泪道成形术组45眼治愈19眼,好转13眼,有效率为71.1%。EDCR组与IEDCR组之间有效率差异不具有统计学意义(P>0.05),Nd:YAG激光泪道成形术组与其他两组的有效率差异具有统计学意义(P<0.05)。结论:EDCR和IEDCR均是治疗慢性泪囊炎的可靠方法,尤其是IEDCR微创,值得推广应用。AIM ： To investigate the effects on patients with chronic dacryocystitis treated with three methods： external dacryocystorhinostomy （ EDCR）, intranasal endoscopic dacryocystorhinostomy （IEDCR） and Nd： YAG laser dacryoplasty, and to explore the best operation method. METHODS：Totally 182 cases （202 eyes） were randomly divided into three groups, using EDCR, IEDCR and Nd： YAG laser dacryoplasty respectively, postoperative follow- up lasted 6-24months. RESULTS： The success rate of three groups were 93.9%, 92.3% and 71.1% respectively. There was not significant difference between group EDCR and group IEDCR （ P 〉 0. 05 ）. There was significant difference between group Nd ：YAG laser dacryoplasty and other two groups （P〈0.05）. CONCLUSION： EDCR and IEDCR are effective methods. Especially IEDCR is minimal invasive technique and worthy of promotion and application.

关 键 词：慢性泪囊炎 鼻腔泪囊吻合术 鼻内窥镜下鼻腔 泪囊造口术 Nd YAG激光泪道成形术 有效率 

分 类 号：R779.6[医药卫生—眼科]