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目的:探讨经鼻内窥镜下行钬激光泪囊鼻腔造孔术治疗慢性泪囊炎的应用。方法:应用钬激光技术于鼻内窥镜下治疗慢性泪囊炎47例(47只眼),术后随访3—6个月。结果:拔管后患者无流脓、泪溢;或无流脓,但泪溢症状改善,泪道冲洗通畅,鼻内窥镜下可见造空口成型定义为手术成功。成功率为93.6%。结论:应用鼻内窥镜下治疗慢性泪囊炎已成为鼻眼相关外科学的重要内容之一,我院近年来应用钬激光技术于鼻内窥镜下行泪囊鼻腔造孔术治疗慢性泪囊炎及泪囊鼻腔吻合手术失败的患者。该手术无面部瘢痕,术中于鼻内窥镜下用光导纤维通过泪道作准确定位后,应用钬激光技术具有止血作用,组织损伤小,方便快捷,泪液的导流系统不受影响,更是传统的泪囊鼻腔吻合手术失败的很好的补救方法。术毕置入与造孔口相匹配的硅胶条3月,并作定期随访,提高了手术的成功率。
Objective: To explore the application of nasal endoscopic holmium laser dacryocystorhinostomy for chronic dacryocystitis. Methods: 47 cases (47 eyes) of chronic dacryocystitis under nasal endoscopy were treated with holmium laser and were followed up for 3-6 months. Results: After extubation, the patient had no pus and tears; or no pus, but the symptom of tearing was improved and the lacrimal duct was irrigated smoothly. Under nasal endoscopy, it was defined as the successful operation. The success rate was 93.6%. Conclusion: The treatment of chronic dacryocystitis under nasal endoscopy has become an important part of the nasal-related surgery. In our hospital, the use of holmium laser in nasal endoscopy for nasal endoscopic dacryocystorhinostomy in the treatment of chronic lacrimal sac Patients with inflammation and dacryocystorhinostomy failed. The surgery without facial scars, intraoperative nasal endoscopy using optical fibers through the lacrimal duct for accurate positioning, the application of holmium laser technology has the role of hemostasis, tissue damage is small, convenient and quick, tear drainage system is not affected, and more It is a good remedy for traditional dacryocystorhinostomy failure. Into the hole into the hole at the end of surgery to match the silicone strips March, and for regular follow-up, to improve the success rate of surgery.