内窥镜辅助鼻泪管支架植入治疗鼻泪管术后再阻塞的效果分析  

Endoscope-assisted nasolacrimal duct stent implantation for the treatment of postoperative nasolacrimal duct reobstruction

作　　者：杨敏 Yang Min(Harbin Aier Eye Hospital,Harbin,Heilongjiang,150076,China)

机构地区：[1]哈尔滨爱尔眼科医院,黑龙江哈尔滨150076

出　　处：《中国医学文摘（耳鼻咽喉科学）》2024年第1期161-164,共4页Chinese Medical Digest(Otorhinolaryngology)

摘　　要：目的分析内窥镜辅助下鼻泪管支架植入术对鼻泪管术后再阻塞的治疗效果。方法将2018年9月~2022年9月期间在本院治疗鼻泪管术后再阻塞的60例患者以随机分组法分入对照组与研究组,每组各30例。对照组采取泪囊切开+激光疏通手术,研究组采取内窥镜辅助下鼻泪管支架植入术。对比两组的治疗效果、并发症发生率。结果就总有效率而言,研究组(93.33%)与对照组(86.67%)相近,差异无统计学意义(χ^(2)=0.741,P=0.389>0.05)。就并发症发生率而言,研究组(0%)比对照组低(20%),差异有统计学意义(χ^(2)=6.667,P=0.010<0.05)。结论内窥镜辅助下鼻泪管支架植入术对鼻泪管术后再阻塞有显著疗效,安全性也比较高。Objective To analyze the therapeutic effect of endoscope-assisted nasolacrimal duct stent implantation on postoperative reobstruction of nasolacrimal duct.Methods 60 patients with postoperative reobstruction of nasolacrimal duct in our hospital from September 2018 to September 2022 were randomly divided into control group and study group,30 cases in each group.The control group was treated with dacryocystotomy and laser dredging,while the study group was treated with endoscope-assisted nasolacrimal duct stent implantation.The therapeutic effect and complication rate were compared between the two groups.Results The total effective rate of the study group(93.33%)was similar to that of the control group(86.67%),and the difference was not statistically significant(χ^(2)=0.741,P=0.389>0.05).Conclusion Endoscopic nasolacrimal duct stent implantation is effective and safe in the treatment of postoperative nasolacrimal duct reobstruction.

关 键 词：鼻泪管手术 内窥镜 鼻泪管支架植入 术后再阻塞 治疗效果 

分 类 号：R47[医药卫生—护理学]