留置泪道引流管对鼻内镜下泪囊鼻腔吻合术疗效的影响  

Effect of indwelling lacrimal duct drainage tube on the curative effect of endoscopic dacryocystorhinostomy

作　　者：杜文杰 李畅昌 DU Wen-jie;LI Chang-chang(Maoming Aitong Eye Hospital,Maoming 525000,China)

机构地区：[1]茂名爱瞳眼科医院,525000

出　　处：《中国现代药物应用》2024年第3期68-70,共3页Chinese Journal of Modern Drug Application

摘　　要：目的探究泪道引流管对鼻内镜下泪囊鼻腔吻合术效果的影响。方法70例(70眼)慢性泪囊炎患者,按随机数字表法分为对照组、观察组,每组35例(35眼)。两组均接受鼻内镜下泪囊鼻腔吻合术治疗,对照组未留置泪道引流管,观察组留置泪道引流管。观察对比两组疗效、伤口吻合愈合情况、肉芽组织增生情况。结果观察组总有效率优于对照组(P<0.05)。对照组伤口吻合口逐渐上皮化占71.43%(25/35),观察组伤口吻合口逐渐上皮化占91.43%(32/35),观察组优于对照组(P<0.05)。对照组肉芽组织增生率为22.86%(8/35),观察组肉芽组织增生率为5.71%(2/35),观察组优于对照组(P<0.05)。结论留置泪道引流管应用在鼻内镜下泪囊鼻腔吻合术中能够提高手术成功率、促进患者吻合口逐渐上皮化及降低肉芽组织生长,应用价值较高。Objective To explore the effect of indwelling lacrimal duct drainage tube on the curative effect of endoscopic dacryocystorhinostomy.Methods 70 patients(70 eyes)with chronic dacryocystitis were divided into a control group and an observation group according to random numerical table,each with 35 cases(35 eyes).Both groups received endoscopic dacryocystorhinostomy.The control group had no indwelling lacrimal duct drainage tube,while the observation group had indwelling lacrimal duct drainage tube.The curative effect,anastomotic wound healing and granulation tissue proliferation were compared between the two groups.Results The total effective rate of the observation group was better than that of the control group(P<0.05).The gradual epithelization of anastomosis accounted for 71.43%(25/35)in the control group and 91.43%(32/35)in the observation group,and the observation group was better than the control group(P<0.05).The granulation tissue growth rate of the control group was 22.86%(8/35),and that of the observation group was 5.71%(2/35),which was better than that of the control group(P<0.05).Conclusion The indwelling lacrimal duct drainage tube can improve the success rate of endoscopic dacryocystorhinostomy,promote the gradual epithelization of the anastomosis and reduce the growth of granulation tissue in patients.It has high application value.

关 键 词：留置泪道引流管 鼻内镜 泪囊鼻腔吻合术 

分 类 号：R779.6[医药卫生—眼科]