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鼻泪管疏通术或称鼻泪管阻塞切除术治疗慢性泪囊炎已有报导。我院自1987年8月开展此项手术,至今已做14例,治疗效果也较满意。作者观察到鼻泪管疏通术中是否留置填塞物,对疗效有很大影响。我们最初3例术中没留鼻泪管填塞物,虽然术后每日用糜蛋白酶冲洗泪道,但其中第2例术后3天鼻泪道重新堵塞,经冲洗探通均无效。第3例术后4天发生堵塞,再次手术探查鼻泪道,清除血痂,置入硅胶管填塞。自第4例起,均用硅管作填塞物,术后一周拔管,
Nasolacrimal duct dredging or nasolacrimal duct obstruction resection of chronic dacryocystitis has been reported. Our hospital since August 1987 to carry out the operation, has been done in 14 cases, the treatment effect is also more satisfactory. The authors observed that nasolacrimal duct dredging whether to retain the stuffing, the effect has a great impact. In our first three cases, there was no nasolacrimal duct tamponade. Although lacrimal duct was washed with chymotrypsin daily, the second case of nasolacrimal duct was blocked 3 days after operation, and the probe was ineffective after irrigation. The third case occurred 4 days after the blockage, re-exploration of nasolacrimal duct surgery, removal of blood scab, placed in silicone tube packing. Since the first 4 cases, both with silicon for stuffing, extubation week after surgery,