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目的:探讨鼻内窥镜下泪囊鼻腔开放术治疗慢性泪囊炎的临床疗效。方法:对我院75例(78眼)慢性泪囊炎患者行鼻内窥镜下泪囊鼻腔开放术治疗后的满意度、泪溢情况、泪道通畅程度进行分析,以评价该手术治疗慢性泪囊炎的疗效。结果:75例(78眼)患者中有67例(70眼)完成了6个月的临床随访观察;所有随访患者在6个月时,均无流脓,有2眼泪道冲洗不通畅,伴有泪溢(无效率为2.9%);另有3只眼存在泪溢现象,但泪道冲洗通畅;其余的65只眼泪道冲洗通畅、无泪溢、泪囊鼻腔造孔口良好上皮化(治愈率为92.8%)。88.1%的患者对手术的疗效感到满意。术后随访出现6只眼中鼻甲与造孔口粘连者,5只眼鼻甲与中隔粘连,均获治愈。结论:鼻内窥镜下泪囊鼻腔开放术治疗慢性泪囊炎具有操作简便、并发症少、成功率高、可同时处理鼻腔疾病等优点,值得临床推广。
Objective: To investigate the clinical effect of nasal endoscopic dacryocystorhinostomy for chronic dacryocystitis. Methods: 75 cases (78 eyes) of chronic dacryocystitis in our hospital under nasal endoscopic dacryocystorhinostomy satisfaction, tearing, lacrimal duct patency were analyzed to evaluate the operation of chronic Dacryocystitis curative effect. RESULTS: Sixty-seven (70 eyes) of 75 patients (78 eyes) completed the clinical follow-up of 6 months. All patients were followed up for 6 months without pus and 2 had lacrimal duct lavage. There is tearing (inefficiency of 2.9%); while the other three eyes there is the phenomenon of tearing, but lacrimal duct wash patency; the remaining 65 lacrimal duct irrigation unobstructed, no tears overflow, nasolacrimal nasal cavity made good epithelialization ( The cure rate was 92.8%). 88.1% of patients were satisfied with the efficacy of surgery. Postoperative follow-up occurred in 6 eyes of the middle turbinate and the orifice of adhesion, 5 nasal turbinate and septum adhesion, were cured. Conclusion: Dacryocystorhinostomy under nasal endoscopy has the advantages of simple operation, less complications, high success rate and simultaneous treatment of nasal diseases, which is worthy of clinical promotion.