隐形人工鼻泪管置入与鼻腔泪囊吻合术治疗慢性泪囊炎238例对比研究  

Comparison of the effect of dacryocystorhinostomy versus lacrimal stenting for the treatment of chronic dacryocystitis

作　　者：李晓东[1] 陈蕾[1] 胡倩[1] 李玲[1] 刘祥敏[1] 李东[1] 

机构地区：[1]贵州省人民医院眼科,贵阳550000

出　　处：《临床眼科杂志》2014年第3期273-274,共2页Journal of Clinical Ophthalmology

摘　　要：目的对比观察鼻腔泪囊吻合术、人工鼻泪管置入术治疗慢性泪囊炎的临床疗效。方法将患慢性泪囊炎162例(238只眼)患者按照随机的原则分成两组:A组(鼻腔泪囊吻合术组50例),B组(人工鼻泪管置入术组188例)。观察手术后第6个月时的情况,冲洗泪道通畅并且无溢泪和溢脓者为治愈。结果 A组50只眼中治愈46只眼(92%);B组188只眼中治愈170只眼(90.4%)。A组与B组比较P>0.05,差异无统计学意义。结论两种术式相比较,A与B手术方法治愈率无明显差异。但是B术式创伤小,易耐受,对于年老体弱不能接受A术式者尤其适合,无皮肤切口,颜面部不留瘢痕,不外露,不影响外观,费用低,操作简便。Objective To evaluate the effect of two different methods on treating chronic dacryocystitis -dacryo-cystorhinostomy and lacrimal stent .Methods A hundred sixty-two patients （238 eyes） with chronic dacryocystitis were divided into two groups either received dacryocystorhinostomy （group A, 50 eyes） or received lacrimal stent （group B, 188 eyes）.The occurrence of epiphora and syringing of the lacrimal passage were observed at the sixth month after the opera -tion.Results In group A there were 46 eyes cured （92%）, whereas in group B there were 170 eyes cured （90.4%）. There is no significant difference between group A and group B （ P 〉0.05）.Conclusion Lacrimal stenting is a much better choice for aged patients .Lacrimal stenting does not need incision and leaves no scar on face .It is also easier to oper-ate, and is the ideal method for treating chronic dacryocystitis nowadays .

关 键 词：慢性泪囊炎 鼻腔泪囊吻合术 人工鼻泪管 

分 类 号：R779.6[医药卫生—眼科]