Lund-Mackay评分预测慢性泪囊炎合并慢性鼻窦炎同期手术疗效的作用  

The value of Lund-Mackay score in predicting the effect of simultaneous surgery of chronic dacryocystitis with chronic sinusitis

作　　者：苏锐锋[1] 赵敏 卢姗姗 齐智伟[1] 谭小波[1] 苏畅[1] Rui-Feng Su;Min Zhao;Shan-Shan Lu;Zhi-Wei Qi;Xiao-Bo Tan;Chang Su(Department of Ophthalmology, the Affiliated Hospital of Chengde Medical College, Chengde 067000, Hebei Province, China)

机构地区：[1]承德医学院附属医院眼科,中国河北省承德市067000

出　　处：《国际眼科杂志》2020年第6期1087-1090,共4页International Eye Science

基　　金：河北省自然科学基金项目(No.H2015406054)。

摘　　要：目的:分析Lund-Mackay评分预测慢性泪囊炎合并慢性鼻窦炎同期手术疗效的作用。方法:将我院2016-05/2019-03就诊的慢性泪囊炎合并慢性鼻窦炎的患者共92例92眼纳入前瞻性单盲研究,根据Lund-Mackay评分将患者病情分为轻(22例)、中(34例)、重(36例)三组,每组随机分为同期手术组和分期手术组。比较同期手术与分期手术的手术疗效和并发症情况。结果:轻度和中度慢性泪囊炎合并慢性鼻窦炎患者,同期和分期手术手术有效率、并发症均无差异(P>0.05);重度慢性泪囊炎合并慢性鼻窦炎患者,分期手术有效率高于同期手术(94%vs 61%,P<0.05),并发症发生率低于同期手术(P<0.05)。结论:根据Lund-Mackay评分,轻度和中度慢性泪囊炎合并慢性鼻窦炎患者建议同期手术,重度患者建议分期手术。·AIM:To explore the value of Lund-Mackay score in the surgical treatment of chronic dacryocystitis with chronic sinusitis.·METHODS:Totally 92 cases(92 eyes)of chronic sinusitis with chronic dacryocystitis in our hospital from May 2016 to March 2019 were included in the prospective,single-blind study.According to Lund-Mackay score,the patients were divided into three groups:mild(22 cases),moderate(34 cases)and serious(36 cases).Each group was randomly divided into simultaneous operation group and phased operation group.We compared the operative effect and complications of simultaneous and phased operations.·RESULTS:In patients with mild and moderate chronic sinusitis combined with chronic dacryocystitis,there was no statistical difference in the efficiency and complications between simultaneous and phased operations(P>0.05).In patients with severe chronic sinusitis combined with chronic dacryocystitis,the efficiency of phased operations was higher than that of the simultaneous surgery(94%vs 61%,P<0.05),and the complications were lower than that of the simultaneous surgery(P<0.05).·CONCLUSION:According to Lund-Mackay score,patients with mild to moderate chronic sinusitis and chronic dacryocystitis are advised to undergo simultaneous surgery,while patients with severe rhinosinusitis are advised to undergo phased surgery.

关 键 词：泪囊鼻腔吻合术 慢性泪囊炎 慢性鼻窦炎 鼻内窥镜 Lund-Mackay评分 

分 类 号：R779.6[医药卫生—眼科] R765.9[医药卫生—临床医学]