泪囊造影定位行经鼻内镜下鼻腔泪囊吻合术的探讨  

Study of the effect of positioning dacryocyst by dacryocystography in endoscopic endonasal dacryocystorhinostomy

作　　者：黄健 李海燕 万明柏 Huang Jian;Li Haiyan;Wan Mingbai(Department of Ophthalmology,Affiliated Hospital of Jiujiang University,Jiujiang 332000,China)

机构地区：[1]九江学院附属医院眼科,江西九江332000

出　　处：《中国实用眼科杂志》2017年第9期885-886,共2页Chinese Journal of Practical Ophthalmology

摘　　要：目的应用泪囊造影定位对泪囊炎行经鼻内镜下鼻腔泪囊吻合术进行探讨。方法28例泪囊炎患者，在术前行眼眶CT成像后，取冠状位，以鼻中隔嵴突作为标志，确定对应的泪囊造影所显示的最长的泪囊影像在鼻腔外侧壁位置。以此为标志进行手术。结果全部病例均手术顺利。结论泪囊炎经鼻内镜下鼻腔泪囊吻合术治疗的病例，术前行泪囊造影CT成像，有助于形成手术方案，指导手术。Objective To discuss the localization effect of dacryocystography in endoscopic endo-nasal dacryocystorhinostomy on dacryocystitis. Method The 28 cases of patient were scanned, with orbital CT before operation. On coronal scanning image, the location of the longest daeryocyst im-age were made sure which was shown by dacryocystography in lateral wall of the nasal cavity and the location was marked by the ridge of nasal septum. The operation was performed with those marks. Result All patients were performed successfully during operation. Conclusions Dacryocys-tography and orbital CT scanning are performed before surgery, which can help work out surgical planning and guide surgery in patients with dacryocystitis who are accepted endonasal dacryocystorhi-nostomy under endoscope.

关 键 词：泪囊造影 定位 经鼻内镜下泪囊鼻腔吻合术 

分 类 号：R777.23[医药卫生—眼科]