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作者给109例泪道狭窄患者作了126侧鼻腔泪囊吻合术,并介绍手术方法及疗效。患者年龄3—71岁。女82例;男27例。第一次手术采用West-Halle氏法:首先切除相当于泪囊部位的鼻腔粘膜。用凿子或电钻将暴露骨质去除,将骨窗尽可能开大,充分暴露泪囊。从泪囊内侧壁做一粘膜瓣向下倒入鼻腔,使鼻腔与泪囊相通。手术在肉眼下可以进行,本文部分病例使用了手术显微镜。
The author made 126 cases of lacrimal duct stenosis in patients with nasal dacryocystorhinostomy, and introduced the surgical methods and efficacy. Patients aged 3-71 years. 82 females; 27 males. The first surgery using West-Halle’s method: First, resection of the nasal mucosa corresponding to the lacrimal sac site. Use a chisel or electric drill to remove the exposed bone and open the bone window as large as possible to fully expose the lacrimal sac. From the dacryocystal wall to do a mucosal flap down into the nasal cavity, nasal cavity and lacrimal sac. Surgery can be carried out under the naked eye. Some cases of this article use a surgical microscope.