慢性泪囊炎的手术治疗  

Surgical treatment for chronic dacryocystitis

作　　者：逄作祥 于海斌 Pang Zuoxiang;Yu Haibin(Weifang Eye Hospital,Weifang,Shandong 261000,China;Zhucheng Changcheng Health Center,Weifang,Shandong 262200,China)

机构地区：[1]山东省潍坊市潍坊眼科医院,261000 [2]山东省潍坊市诸城市昌城卫生院,262200

出　　处：《国际眼科纵览》2021年第2期172-176,共5页International Review of Ophthalmology

摘　　要：慢性泪囊炎是鼻泪管阻塞或狭窄等引起的常见泪道病,目前无有效的药物疗法,不同疗法目的均为使用器械解除梗阻,重建引流通道。本文复习文献资料,比较了当前临床上治疗慢性泪囊炎的7种方法,认为鼻内窥镜下泪囊鼻腔吻合术效果好,微创、美观,是治疗慢性泪囊炎高效安全的方法。泪道内窥镜可在直视下对狭窄部位进行疏通,结合泪道置管,也具有很好的疗效。在临床上具体到某一位患者时,必须根据患者具体情况个性化处理。Chronic dacryocystitis is a common lacrimal disorder caused by the obstruction or stenosis of nasolacrimal duct.Currently,there is no effective drug therapy for chronic dacryocystitis and the purpose of different treatment methods is to relieve obstruction and rebuild drainage.We review the literature and compared seven kinds of methods for the treatment of chronic dacryocystitis.It is believed that endoscopic endonasal dacryocystorhinostomy is more effective and less invasive for the treatment of chronic dacryocystitis.With the help of dacryoendoscope,we can observe the inside of lacrimal duct and probe through the obstruction or stenosis area and intubation of lacrimal stent may also help to achieve a better outcome.We should conduct personalized treatment according to the specific situation of the patient in clinical practice.

关 键 词：慢性泪囊炎 治疗方法 鼻内窥镜 泪道内窥镜 

分 类 号：R779.6[医药卫生—眼科]