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泪囊鼻腔吻合术吻合方式选择的探讨
引用本文:舒平,康太平,曹明,李磊,张伽雨,李丽,杨璐舟.泪囊鼻腔吻合术吻合方式选择的探讨[J].眼外伤职业眼病杂志,2011,33(5):365-368.
作者姓名:舒平  康太平  曹明  李磊  张伽雨  李丽  杨璐舟
作者单位:巴中,巴中市中心医院眼科,四川,636000
摘    要:目的探讨泪囊鼻腔吻合术的吻合方式选择及手术技巧。方法通过对135例(152眼)慢性泪囊炎和单纯鼻泪管阻塞,术中根据泪囊的大小和泪囊与鼻黏膜距离分为3组,分别行3种不同的吻合方式。术后随访6—12个月,观察手术效果。结果治愈126眼(82.89%),好转21眼(13.82%),无效5眼(3.29%)。结论根据泪囊的大小和泪囊与鼻黏膜距离,选择泪囊鼻腔吻合术的吻合方式,更为合理有效。

关 键 词:鼻泪管阻塞  泪囊炎  慢性  泪囊鼻腔  吻合术  小泪囊

The discussion on the anastomosis methods of dacryoeystorhinostomy
Institution:SHU Ping, KANG Tai-ping, CAO Ming, et al. Department of Ophthalmology, The Center Hospital of Bazhong City, Bazhong, Sichuan 636000, China
Abstract:Objective To discuss the anastomosis methods of dacryocystorhinostomy and the operation techniques. Methods Through the 135 cases (152 eyes) for the chronic dacryocystitis and nasolacrimal duct obstruction patients, according to the size for the lacrimal sac and the lacrimal sac to the nasal mucosa, do dacryocystorhinostomy by 3 kinds of the anastomosis methods:Follow-up 6 months to 12 months after operation. Results 126 eyes(82.9%) were cured; 21 eyes (13.8%) were improved; and 5 eyes (3.3%) were invalid. Conclusion It is more reasonable and effective to choose the anastomosis methods of dacryocystorhinostomy,according to the size for the lacrimal sac and the lacrimal sac to the nasalmucosa.
Keywords:obstruction of naso-lacrimal duct  chronic dacryocystitis  dacryocystorhinostomy  small lacrimal sac
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