论文部分内容阅读
我院自1988年12月至1995年12月,采用单瓣法泪囊鼻腔吻合术治疗慢性泪囊炎45例,经随访观察疗效满意。 本组45例,男7例,女38例。年龄最大62岁,最小19岁,平均32.2岁。流脓时间最长8年,最短8个月,平均3.6年。1 手术方法 麻醉,皮肤切口,暴露泪囊及造骨孔同常规吻合术。泪囊鼻腔吻合时采用单瓣缝合法,即沿骨孔后缘及上、下缘切开鼻粘膜,制成鼻粘膜瓣,在泪囊前面中线处垂直向下剪开泪囊,再在剪口上、下端分别剪开泪囊的内后侧壁,形成一个泪囊瓣,将泪囊瓣压在骨孔后壁上,使其进入鼻腔内,在吻合腔内填塞明胶海绵,将泪囊外侧缘及其前筋膜组织与鼻粘膜瓣吻合3针,并将其固定在泪前嵴前的骨膜上,
Our hospital from December 1988 to December 1995, the use of single flap dacryocystorhinostomy for the treatment of chronic dacryocystitis in 45 cases, after a follow-up observation of satisfactory results. The group of 45 cases, 7 males and 38 females. The oldest is 62 years old, the youngest is 19 years old and the average is 32.2 years old. Longest pus time of 8 years, the shortest 8 months, an average of 3.6 years. 1 surgical anesthesia, skin incision, exposed lacrimal sac and bone with conventional anastomosis. Dacryocyst nasal anastomosis using single flap suture method, that is, along the posterior edge of the bone and the upper and lower edge of the nasal mucosa cut, made of nasal mucosa flap, in the lacrimal sac in front of midline at the vertical cut down lacrimal sac, and then cut The mouth, the lower end were cut lacrimal sac within the posterior wall to form a lacrimal sac flap, the lacrimal flap pressure in the posterior wall of the hole, so that it enters the nasal cavity, filling in the anastomosis chamber gelatin sponge, the outer side of the lacrimal sac Edge and its anterior fascia and nasal mucosa flap anastomosis 3-pin, and fixed in the anterior crest of the tear before the periosteum,