鼻内窥镜下泪囊鼻腔开放术联合丝裂霉素治疗慢性泪囊炎  

Dacryocystorhinostomy under endoscopy with mitomycin for chronic dacryocystitis

作　　者：黄起基 蔡良烜 林廷稳 

机构地区：[1]中国福建省大田县医院眼耳鼻咽喉科,366100

出　　处：《国际眼科杂志》2016年第6期1190-1192,共3页International Eye Science

摘　　要：目的：探讨鼻内窥镜下泪囊鼻腔开放术联合应用丝裂霉素治疗慢性泪囊炎的疗效。方法：收集73例78眼慢性泪囊炎患者在鼻内窥镜下泪囊鼻腔开放术中联合应用丝裂霉素,随访6~12mo观察疗效。结果：所选患者中66例70眼痊愈（90%）,2例3眼好转（4%）,5例5眼无效（6%）。复发病例5例5眼中,2眼再予鼻内窥镜下清除肉芽,扩大造口,浸有0.4g/L丝裂霉素棉片放置创面约5min,后置麻醉导管,另3眼转上级医院行泪道激光,均获得成功。所有患者没有发生严重的手术并发症。结论：鼻内镜下泪囊鼻腔开放术联合应用丝裂霉素治疗慢性泪囊炎的疗效肯定。AIM ： To explore the curative effect of dacryocystorhinostom y under endoscopy with m itom ycin for the treatm ent of chronic dacryocystitis. METHODS： Totally 73 cases（ 78 eyes） with chronic dacryocystitis were treated with dacryocystorhinostom y u n d er en d o sco p y with m ito m y cin an d fo llo wed u p fo r6-12 m o. RESULTS： In the 73 patients,66 cases with 70 eyes（ 90%） were cured,2 cases with 3 eyes（ 4%） improved,5cases with 5 eyes（ 6%） not changed. In the recurrent 5eyes,2 eyes were treated under endoscopy to rem ove granulation,enlarge the opening, then anesthetic tube was placed after cotton sheet with 0. 4g / L mitomyc in was put on the incision for 5m in. The rest 3 eyes were treated in superior hospital with laser,and all were successful.There was no severe com plication observed. CONCLUSION： Dacryocystorhinostomy under endoscopy with mitomycin for chronic dacryocystitis is effective.

关 键 词：鼻内窥镜 丝裂霉素C 泪囊鼻腔开放术 慢性泪囊炎 

分 类 号：R779.6[医药卫生—眼科]