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目的观察鼻内镜下鼻腔泪囊吻合术的手术效果。方法对48例(56眼)慢性泪囊炎患者行术侧鼻腔及结膜囊表面麻醉。根据患者病情先解决鼻腔疾患,行鼻内镜下鼻息肉摘除术,鼻中隔黏膜下矫正术,中鼻甲部分切除术,钩突切除术;再行鼻内镜下鼻腔泪囊吻合术。术后观察泪道通畅情况。结果术后随访6~24个月,54眼有效,2眼好转。结论鼻内镜下鼻腔泪囊吻合术损伤小,出血少,方法简便,治愈率高。
Objective To observe the surgical effect of endoscopic nasal dacryocystorhinostomy. Methods 48 cases (56 eyes) of chronic dacryocystitis patients underwent nasal and conjunctival surface anesthesia. According to the patient’s condition to solve nasal disorders, nasal endoscopic nasal polyps removal, nasal septum submucosal rectification, partial middle turbinate resection, uncinatectomy; re-nasal endoscopic dacryocystorhinostomy. Postoperative lacrimal patency observed. Results Postoperative follow-up 6 to 24 months, 54 were effective, 2 eyes improved. Conclusion Nasal endoscopic dacryocystorhinostomy injury is small, less bleeding, the method is simple, the cure rate is high.