鼻内镜下泪囊鼻腔造口术中应用脑室引流管的疗效分析  

Curative effect of ventricular drainage tube in nasal endoscopic dacryocystorhinostomy

作　　者：胡志邦[1] 包勇正[1] 姜磊[2] 王春晖 马晓娟 徐萍 印秀文 杨诗雨 马敬[1] 邹文兰 HU Zhi-bang;BAO Yongzheng;JIANG Lei;WANG Chun-hui;MA Xiao-juan;XU Ping;YIN Xiu-wen;YANG Shi-yu;MA Jing;ZOU Wen-lan(Department of Otorhinolaryngology,The Third People′s Hospital of Changzhou,Changzhou 213001,Jiangsu,China;Department of Ophthalmology,The Third People′s Hospital of Changzhou,Changzhou 213001,Jiangsu,China)

机构地区：[1]常州市第三人民医院耳鼻咽喉科,江苏常州213001 [2]常州市第三人民医院眼科,江苏常州213001

出　　处：《生物医学工程与临床》2023年第6期718-722,共5页Biomedical Engineering and Clinical Medicine

基　　金：常州市科技局应用基础研究计划项目(CJ20190082);常州市卫生健康青苗人才培养工程(CZQM2020090)。

摘　　要：目的评估鼻内镜下泪囊鼻腔造口术中应用脑室引流管的疗效。方法选择2018年1月至2021年12月在常州市第三人民医院耳鼻咽喉头颈外科行鼻内镜下泪囊鼻腔造口术的慢性泪囊炎患者60例(66眼),其中男性8例(9眼),女性52例(57眼);年龄20~79岁,平均年龄57.33岁;病程3个月~40年,平均病程5.33年;侧别,左侧28例,右侧26例,双侧6例。随机分为治疗组30例(34眼)和对照组30例(32眼)。治疗组泪囊鼻腔内依据泪囊大小留置10#或12#脑室引流管,对照组泪囊鼻腔内不放置脑室引流管。术后随访半年,评估各组手术相关指标,以及临床疗效。结果两组间手术时间、术中出血及术后局部疼痛感比较,差异均无统计学意义[(58.43±16.51)min vs(51.40±13.46)min、(44.00±18.50)mL vs(44.67±14.85)mL、29.41%vs 25.00%。P>0.05]。治疗组治愈28眼,好转5眼,复发1眼,有效率97.05%;对照组治愈19眼,好转6眼,复发7眼,有效率78.12%;治疗组有效率明显高于对照组,差异有统计学意义(P<0.05)。结论脑室引流管在鼻内镜下泪囊鼻腔造口术中具有较好的临床应用价值。Objective To evaluate the efficacy of ventricular drainage tube in endoscopic transnasal dacryocystorhinostomy.Methods From January 2018 to December 2021,a total of 60 patients(66 eyes)with chronic dacryocystitis who underwent endoscopic dacryocystomy were enrolled,which included 8 males(9 eyes)and 52 females(57 eyes),aged 20-79 years old with mean age of 57.33 years old;disease course was 3-month to 40-year with mean of 5.33 years.Twenty-eight cases were on the left side,26 on the right side and 6 cases on bilateral sides.All of the patients were randomly divided into treatment group(n=30,34 eyes)and control group(n=30,32 eyes).In treatment group,10#or 12#ventricular drainage tube was placed in lacrimal sac cavity according to size of lacrimal sac,while in control group,no ventricular drainage tube were arranged in lacrimal sac cavity.The patients were followed up for 6 months after operation,and the operation related indexes and clinical efficacy of each group were evaluated.Results There was no significant difference in operation time,intraoperative bleeding and postoperative local pain between 2 groups[(58.43±16.51)minutes vs(51.40±13.46)minutes,(44.00±18.50)mL vs(44.67±14.85)mL,29.41%vs 25.00%.P>0.05].In treatment group,28 eyes were cured,5 were improved,1 was recurred,and effective rate was 97.05%.In control group,19 eyes were cured,6 were improved,7 were relapsed,and effective rate was 78.12%.The effective rate of treatment group was significantly higher than that of control group,the difference was statistically significant(P<0.05).Conclusion It is demonstrated that the ventricular drainage tube showed good clinical application value in endoscopic transnasal dacryocystorhinostomy.

关 键 词：脑室引流管 慢性泪囊炎 泪囊鼻腔造口术 鼻内镜 

分 类 号：R779.6[医药卫生—眼科]