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目的探讨泪囊鼻腔吻合术后复发的原因和手术方法。方法对1999年1月-2009年10月因泪道阻塞行泪囊鼻腔吻合术后3个月以上复发的47例患者,行再吻合术,术中仔细分离切除瘢痕及肉芽,尽量做双瓣吻合。结果本组50只眼,术后随访3个月～2年,成功49只眼,1例再阻塞,治愈率98%。结论首次手术失败的主要原因是骨孔过小,吻合口粘连,泪囊太小或萎缩,解剖层次不清和手术操作粗暴导致术中出血等。再次吻合手术治疗效果满意。
Objective To investigate the causes and surgical methods of postoperative recurrence after dacryocystorhinostomy. Methods From January 1999 to October 2009, 47 patients with recurrence of lacrimal sac nasal cavity anastomosis more than 3 months after lacrimal passage obstruction were performed re-anastomosis. The scar and granulation were carefully resected and removed during operation. The double-lobe Anastomosis. Results The group of 50 eyes, followed up for 3 months to 2 years, 49 eyes were successful, 1 case of reocclusion, the cure rate was 98%. Conclusions The main reasons for the failure of the first operation are the small bone hole, anastomotic adhesions, too small or atrophic dacryocystorhinostosis, unclear anatomic level and gross operation operation leading to intraoperative bleeding. Satisfactory surgical results again satisfied.