鼻内镜下泪囊鼻腔吻合术治疗复发性慢性泪囊炎临床观察  

Clinical observation of endoscopic dacryocystorhinostomy on the treatment of recurrent chronic dacryocystitis

作　　者：谢平[1] 欧阳君[1] 何静[1] 

机构地区：[1]中国江西省九江市第一人民医院眼科,332000

出　　处：《国际眼科杂志》2015年第10期1828-1829,共2页International Eye Science

摘　　要：目的：探讨鼻内镜下泪囊鼻腔吻合术中应用丝裂霉素 C治疗慢性泪囊炎置管术后复发患者的临床效果。 方法：慢性泪囊炎置管术后复发患者62例62眼随机分为两组,在施行鼻内窥镜下泪囊鼻腔吻合术中联合应用丝裂霉素C置于吻合口骨窗处（治疗组）31例；单纯行鼻内窥镜下泪囊鼻腔吻合术（对照组）31例。随访3~12mo。 结果：术后6 mo时治疗组的治愈率及有效率分别为90%、97%,对照组的治愈率及有效率分别为74%、94%。治疗组的治愈率高于对照组（Z=14.66,P〈0.05）。 结论：鼻内窥镜下泪囊鼻腔吻合术中联合应用丝裂霉素C有利于预防吻合口瘢痕粘连及提高远期疗效,是一种有效辅助治疗方法。AIM： To observe clinical effects of endoscopic dacryocystorhinostomy combined with adjunctive mitomycin C （ MMC ） on the treatment of recurrent chronic dacryocystitis after lacrimal duct intubation. METHODS：Sixty-two eyes of 62 cases with recurrent chronic dacryocystitis after lacrimal duct intubation were randomly divided into two groups： treatment group （ 31 cases ） and control group （ 31 cases ） . Patients in the treatment group were undergone endoscopic dacrystorhinostomy combined with MMC placed on the anastomotic bone hole. Patients in the control group only received endoscopic dacryocystorhinostomy. The follow-up period arranged from 3 to 12mo. RESULTS： At 6mo postoperative, the cure rate and effective rate of the treatment group was 90% and 97%respectively, and those of the control group were 74%and 94% respectively. The effective rate of the treatment group was higher than that of the control group significantly （Z=14. 66,P〈0. 05）. CONCLUSION： Endoscopic dacryocystorhinostomy combined with MMC is an effective supplemental method which can prevent postoperative anastomotic cicatricial adhesion and improve the long-term outcome.

关 键 词：复发性慢性泪囊炎 内窥镜 泪囊鼻腔吻合术 丝裂霉素C 

分 类 号：R779.6[医药卫生—眼科]