鼻内镜下鼻腔泪囊吻合术与鼻泪管支架术治疗慢性泪囊炎比较分析  

Comparative investigation of nasolacrimal stent and endoscopic dacryocystorhinostomy to chronic dacryocystitis

作　　者：李伟[1] 吴文洁[1] 刘登艳 

机构地区：[1]怀化市第一人民医院眼科,湖南省418000

出　　处：《中国实用眼科杂志》2016年第11期1221-1223,共3页Chinese Journal of Practical Ophthalmology

摘　　要：目的评估鼻内镜下鼻腔泪囊吻合术与鼻泪管支架术治疗慢性泪囊炎的临床疗效。方法在怀化市第一人民医院眼科于2009年6月至2015年7月诊治的慢性泪囊炎45例，按照住院顺序随机分组分别进行鼻内镜下鼻腔泪囊吻合术（23例）与鼻泪管支架术（22例），术后随访对比观察两种手术的疗效。结果随访1个月，鼻内镜下鼻腔泪囊吻合术治愈21例，治愈率为91.3%；鼻泪管支架术治愈20例，治愈率为90.9%；6个月，鼻内镜下鼻腔泪囊吻合术治愈20例，治愈率为86.9%；鼻泪管支架术治愈12例，治愈率为54.5%。两组第一个月差异无统计学意义（χ^2=0.227；P 〉0.05）；第六个月差异存统计学意义（χ^2=4.28；P 〈0.05）。结论鼻内镜下鼻腔泪囊吻合术与鼻泪管支架术早期1个月疗效一样；6个月时，鼻内镜下鼻腔泪囊吻合术要优于鼻泪管支架术。Objective To evaluate the clinical effects of nasolacrimal stent and endoscopic dac- ryocystorhinostomy for the treatment of chronic dacryocystitis. Methods Forty-five cases with chron- ic dacryocystitis randomized separately endoscopic dacryocystorhinostomy （23 cases） and nasolacrimal stent （22 cases） according to hospital admission, compared to observe the curative effect of two kinds of surgery by postoperative follow-up. Results Followed up for 1 month： endoscopic dacryocys- torhinostomy cured 21 cases, cure rate was 91.3%; Nasolacrimal stent treated 20 cases, cure rate was 90.9%; 6 months： 20 patients with endoscopic dacryocystorhinostomy cured, the cure rate was 86.9%; Nasolacrimal stent 12 cases were cured, the cure rate was 54.5%. Differences between the two groups had no statistical significance in the first month （χ^2=0.227, P 〉0.05）, Differences in 6 months had statistically significant （χ^2=4.28; P 〈0.05）. Conclusions Endoscopic dacryocystorhinosto- my and nasolacrimal stent have the same effect in the first month; In the sixth month, the curative effect of endoscopic dacryocystorhinostomy is superior to the Nasolacrimal stent.

关 键 词：鼻内镜 鼻腔泪囊吻合术 鼻泪管支架术 慢性泪囊炎 

分 类 号：R777.23[医药卫生—眼科]