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目的 :探讨治疗慢性泪囊炎的有效方法。方法 :对 2 0例慢性泪囊炎患者在鼻内窥镜下采用钬激光泪囊鼻腔造孔术。结果 :术后随访 1~ 2年 ,术后 8个月拔管 1例 ,6个月拔管 6例 ,4个月拔管 4例 ,3个月拔管 9例。随访 1年无一例复发 ,有效率 10 0 %。无一例出现并发症。结论 :应用钬激光鼻内窥镜下行泪囊鼻腔造孔术 ,克服了传统手术的缺点 ,具有损伤小 ,面部无瘢痕 ;出血少 ,视野清晰 ;方法简便快捷 ,无须住院手术 ;并发症少等优点 ;且可作为传统手术失败后的补救措施
Objective: To explore effective methods of treating chronic dacryocystitis. Methods: 20 cases of chronic dacryocystitis under nasal endoscopic urethral laser dacryocystorhinostomy. Results: The patients were followed up for 1 to 2 years, extubated in 8 months after operation, 6 cases extubated in 6 months, 4 extubated in 4 months and 9 extubated in 3 months. No follow-up of 1 year relapse, the effective rate of 100%. No case of complications. Conclusions: The dacryocystorhinostomy with holmium laser nasal endoscopy can overcome the shortcomings of traditional surgery, with less damage and no scar on the face, less bleeding and clear field of vision. The method is simple and quick without hospitalization and there are few complications Advantages; and can be used as a remedy after the failure of traditional surgery