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目的探讨泪囊鼻腔吻合术联合泪小管阻塞插管术的临床疗效。方法鼻黏膜及泪囊“I”字型切口均改为前瓣大,不留后瓣,泪囊内引流物由凡士林纱条改为山东福瑞达公司生产的泪道引流管。结果全部患者术后泪溢症状消失,冲洗泪道通畅,无返流现象发生。结论慢性泪囊炎伴泪小管阻塞的治疗是目前泪道疾病中最复杂治疗。用上述方法增加了手术成功率、降低了手术难度、简化了手术步骤、缩短了手术时间,患者易于接受。
Objective To investigate the clinical effect of dacryocystorhinostomy combined with intubation of lacrimal duct obstruction. Methods Nasal mucosa and lacrimal sac “I” shaped incision are replaced by large anterior flap, leaving no flap, drainage of the lacrimal sac from Vaseline gauze changed to Shandong Furui Da company lacrimal duct drainage. Results All patients with symptoms of diffuse tears disappeared after irrigation lacrimal duct, no reflux occurred. Conclusion The treatment of chronic dacryocystitis with lacrimal duct obstruction is the most complicated treatment of lacrimal duct disease. With the above method to increase the success rate of surgery, reducing the difficulty of surgery, simplifying the surgical procedures and shorten the operation time, patients are easy to accept.