内镜下泪囊鼻腔吻合术与经典开放术式的疗效对比  

Comparison of curative effect of endoscopic endonasal dacryocystorhinostomy with open surgery

作　　者：赵雅铭[1] 张维天[2] 李寅[2] 朱华明[2] 苏开明[2] 

机构地区：[1]上海市长宁区中心医院耳鼻喉科,上海200336 [2]上海交通大学附属第六人民医院耳鼻咽喉科,上海交通大学医学院耳鼻咽喉科研究所,上海200233

出　　处：《山东大学耳鼻喉眼学报》2014年第4期46-48,51,共4页Journal of Otolaryngology and Ophthalmology of Shandong University

摘　　要：目的比较经鼻内镜下泪囊鼻腔吻合术与经面部切口的经典泪囊鼻腔吻合术治疗慢性泪囊炎和鼻泪管梗阻的疗效。方法回顾分析2010年1月至2013年8月收治的46例、53眼慢性泪囊炎和鼻泪管梗阻患者手术治疗的效果,其中行经典泪囊鼻腔吻合术22例(26眼),鼻内镜下泪囊鼻腔吻合术24例(27眼)。结果经典泪囊鼻腔吻合术治愈25眼,好转1眼,无效0眼,治愈率96.2%,有效率100%;鼻内镜下泪囊鼻腔吻合术治愈25眼,好转2眼,无效0眼,治愈率92.6%,有效率100%。采用多个样本的秩和检验,两组比较差异无统计学意义(P>0.05)。结论经鼻内镜下泪囊鼻腔吻合术与经典泪囊鼻腔吻合术治疗慢性泪囊炎和鼻泪管梗阻的疗效接近,但鼻内镜下泪囊鼻腔吻合术无需面部皮肤切口,创伤小,疗效确切,出血少,值得推广。Objective To compare the effects of intranasal endoscopic dacryocystorhinotomy with open dacryocystorhinostomy on chronic dacryocystitis and obstruction of nasolacrimal duct. Method 53 cases including 27 cases on intranassal endoscopic dacryocystorhinostomy and 26 cases on open dacryocystorhinostomy were retrospectively studied.Results In the endonasal endoscopic group,the cure rate was 92. 6% and the effective rate was 100%. While in the open group,the cure rate was 96. 2% and the effective rate was 100%. There was no statistical significance in the two groups（ P〉0. 05）. Conclusion The endonasal endoscopic dacryocystorhinstomy as an effective micro-invasive surgery is worthy of clinical application.

关 键 词：鼻内镜外科手术 慢性泪囊炎 鼻泪管梗阻 泪囊鼻腔吻合术 

分 类 号：R777.23[医药卫生—眼科] R765.2[医药卫生—临床医学]