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目的总结慢性泪囊炎诊断、麻醉方法、手术技巧及并发症的处理。方法回顾性分析548眼慢性泪囊炎的病例资料。结果随访1个月～6年,除2例手术后流脓再次手术外,其余眼全部痊愈,无泪溢、流浓,冲洗畅通。结论泪囊鼻腔吻合术治疗慢性泪囊炎效果确切,须准确诊断(严格适应症)、细致操作、注意手术技巧及并发症的正确处理和局部表浅麻醉有效。
Objective To summarize the diagnosis of chronic dacryocystitis, anesthesia, surgical techniques and complications. Methods A retrospective analysis of 548 cases of chronic dacryocystitis cases. Results The patients were followed up for 1 month to 6 years. Except for 2 cases of postoperative suppurative surgery, the rest of the eyes were cured. There was no leakage of tears, thick stream of fluid and smooth irrigation. Conclusion Dacryocystorhinostomy is effective in treating chronic dacryocystitis. Accurate diagnosis (strict indications), meticulous operation, attention to the proper treatment of surgical techniques and complications, and local superficial anesthesia are effective.