改良鼻腔泪囊吻合术联合新型泪道引流管在慢性泪囊炎小泪囊中的应用  

Application of modified dacryocystorhinostomy combined with new lacrimal drainage tube in small lacrimal sac of chronic dacryocystitis

作　　者：许艳敏[1] 刘永波 徐晔[1] XU Yan-min;LIU Yong-bo;XU Ye(Department of Ophthalmology,Qinhuangdao Second Hospital,Qinhuangdao,Hebei 066000,China)

机构地区：[1]秦皇岛市第二医院眼科,河北秦皇岛066000 [2]秦皇岛市第二医院手术室,河北秦皇岛066000

出　　处：《中国临床研究》2020年第4期524-527,共4页Chinese Journal of Clinical Research

基　　金：秦皇岛市科学技术研究与发展计划项目(201703A132)。

摘　　要：目的探讨改良鼻腔泪囊吻合术联合新型泪道引流管在慢性泪囊炎小泪囊患者应用时的手术技巧、围手术期的处理及疗效。方法对2013年12月至2018年3月确诊为慢性泪囊炎,且术前检查显示泪囊较小的11例(11眼)患者采用改良鼻腔泪囊吻合术联合自制新型泪道引流管治疗,对围手术期进行相应的处理,并分析疗效。结果术后随访1年,11例患者术后痊愈9例,有效1例,无效1例。有效率达90.9%。结论采用改良鼻腔泪囊吻合术联合新型泪道引流管治疗慢性泪囊炎中的小泪囊患者,引流管取材方便,制作简单,疗效肯定,手术成功率高。Objective To study the surgical technique,perioperative management and curative effect of modified dacryocystorhinostomy combined with the new lacrimal drainage tube in patients with chronic dacryocystitis and small lacrimal sac.Methods A retrospective analysis was performed on 11 patients(11 eyes)receiving modified dacryocystorhinostomy combined with self-made new lacrimal drainage tube,who were diagnosed as chronic dacryocystitis and small lacrimal sac before operation from December 2013 to March 2018.Results After one year follow-up,9 eyes were cured,1 eye was effective and 1 eye was ineffective.The effective rate was 90.9%.Conclusion In the treatment of small lacrimal sac in chronic dacryocystitis,modified dacryocystorhinostomy combined with new lacrimal drainage tube has the positive curative effect with a high success rate of the operation,and the drainage tube is easily made.

关 键 词：鼻腔泪囊吻合术 改良 慢性泪囊炎 泪道引流管 小泪囊 

分 类 号：R777.23[医药卫生—眼科]