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目的分析探讨鼻内窥镜下鼻腔泪囊造口术治疗慢性泪囊炎的手术技巧及临床疗效。方法回顾总结我院收治慢性泪囊炎患者35例,行鼻内窥镜下泪囊鼻腔造口术。术中采用辅助工具协助泪囊定位,利用脑外科银夹防止造瘘口狭窄。结果经术后6-12个月随访,28例痊愈,4例好转,3例无效,手术成功率达91.4%。结论鼻内镜鼻腔泪囊造口术具有治愈率高、出血少、泪囊定位准确等优点,是治疗慢性泪囊炎的一种有效、微创的方法。
Objective To analyze the surgical technique and clinical curative effect of nasal lacrimal sacostomy under nasal endoscopy for chronic dacryocystitis. Methods A retrospective review of 35 cases of chronic dacryocystitis admitted to our hospital under nasal endoscopic dacryocystorhinostomy. Intraoperative use of assistive tools to help lacrimal sac location, the use of brain surgery to prevent stenosis of silver stenosis. Results After 6-12 months of follow-up, 28 cases recovered, 4 cases improved, 3 cases were ineffective, and the successful rate was 91.4%. Conclusion Nasal endoscopic dacryocystorhinostomy has the advantages of high cure rate, less bleeding and accurate positioning of lacrimal sac. It is an effective and minimally invasive method for the treatment of chronic dacryocystitis.