鼻泪管逆行置管术与鼻腔泪囊吻合术治疗慢性泪囊炎的疗效  

Effects of nasolacrimal duct retrograde tube insertion and rhinodacryocys-tostomy in treating chronic dacryocystitis

作　　者：邹美英[1] 

机构地区：[1]江西省上高县人民医院五官科,江西上高336400

出　　处：《中国当代医药》2016年第17期96-98,共3页China Modern Medicine

摘　　要：目的探讨鼻泪管逆行置管术与鼻腔泪囊吻合术治疗慢性泪囊炎的疗效。方法选取2012年10月~2014年10月我院收治的80例（96眼）慢性泪囊炎患者为研究对象。根据手术方式的不同进行分组,对照组40例（49眼）和观察组40例（47眼）。对照组患者实施鼻腔泪囊吻合术,观察组实施鼻泪管逆行置管术,比较两组患者的治疗效果。结果观察组患者围术期情况明显优于对照组（t=15.22,37.70,10.76,P〈0.05）。术后12个月后随诊发现,对照组治愈、有效45眼,有效率为91.84%;观察组治愈、有效45眼,有效率为95.74%,差异无统计学意义（χ2=0.63,P〉0.05）。对照组术后并发症发生率为22.50%,观察组为7.50%,差异无统计学意义（χ2=3.53,P〉0.05）。结论鼻泪管逆行置管术治疗慢性泪囊炎操作简单、安全有效,并发症少,值得临床推广应用。Objective To explore the effects of nasolacrimal duct retrograde tube insertion and rhinodacryocystostomy in treating chronic dacryocystitis.Methods 80（96 eyes） patients with chronic dacryocystitis from October 2012 to October2014 in our hospital were selected.Patients were divided into control group（40 cases,49 eyes） and observation group（40cases,47 eyes） according to different operation method.Patients in control group were treated with rhinodacryocystostomy and patients in observation group were given nasolacrimal duct retrograde tube insertion,the treatment effects in two groups were compared.Results The perioperative status of patients in observation group were obviously better than those in control group（t=15.22,37.70,10.76,P〈0.05）.12 months followed-up after surgery,the eyes of cure and effective and effective rate in control group were respectively 45 and 91.84%,which were respectively 45 and 95.74% in observation group,and the difference had no statistical significance（χ2=0.63,P〉0.05）.The incidence rate of complications in control group and observation group was respectively 22.50% and 7.50%,the difference was statistical significance（χ2=3.53,P〉0.05）.Conclusion Nasolacrimal duct retrograde tube insertion in treating chronic dacryocystitis with the advantages of simple operation,safety and effective,little complications,and is worthy to popularize in clinic.

关 键 词：鼻泪管逆行置管术 鼻腔泪囊吻合术 慢性泪囊炎 

分 类 号：R777.23[医药卫生—眼科]