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鼻内镜下钬激光泪囊鼻腔造孔术治疗慢性泪囊炎的疗效随访
引用本文:孙 平,张 琳,蔡 军,张 淳,王家东,张慧国,朱 菁. 鼻内镜下钬激光泪囊鼻腔造孔术治疗慢性泪囊炎的疗效随访[J]. 上海交通大学学报(医学版), 2009, 29(8): 971
作者姓名:孙 平  张 琳  蔡 军  张 淳  王家东  张慧国  朱 菁
作者单位:孙平,张琳,蔡军(上海交通大学,医学院仁济医院眼科,上海200001);张淳,王家东(上海交通大学,医学院仁济医院耳鼻咽喉-头颈外科,上海200001);张慧国,朱菁(上海交通大学,医学院仁济医院激光科,上海200001) 
摘    要:目的 观察鼻内镜下钬激光泪囊鼻腔造孔术治疗慢性泪囊炎的疗效,并探讨其影响因素.方法 应用钬激光于鼻内镜下治疗慢性泪囊炎47例(47只眼),术中造孔后置入扩张的硅胶条,术后随访行泪道冲洗和鼻内镜检查处理.结果 术后随访3~6个月,治愈率87.2%,好转率6.4%,总有效率(治愈率+好转率)为93.6%.结论 鼻内镜下钬激光泪囊鼻腔造孔术后,患者面部无瘢痕,鼻部组织损伤小,手术时间短,出血少,泪液的导流系统不受影响,是传统的泪囊鼻腔吻合手术失败后的良好补救方法 .

关 键 词:鼻内镜  钬激光  慢性泪囊炎  造孔术  随访

Outcomes of intranasal endoscopic holmium laser-assisted dacryocystorhinostomy in treatment of chronic dacryocystitis
SUN Ping,ZHANG Lin,CAI Jun,ZHANG Chun,WANG Jia-dong,ZHANG Hui-guo,ZHU Jing. Outcomes of intranasal endoscopic holmium laser-assisted dacryocystorhinostomy in treatment of chronic dacryocystitis[J]. Journal of Shanghai Jiaotong University:Medical Science, 2009, 29(8): 971
Authors:SUN Ping  ZHANG Lin  CAI Jun  ZHANG Chun  WANG Jia-dong  ZHANG Hui-guo  ZHU Jing
Affiliation:1.Department of Ophthalmology;2.Department of Otorhinolaryngology;3.Department of Laser;Renji Hospital;School of Medicine;Shanghai Jiaotong University;Shanghai 200001;China
Abstract:Objective To observe the outcomes of intranasal endoscopic holmium laser-assisted dacryocystorhinostomy in the treatment of chronic dacryocystitis. Methods Forty-seven patients(47 eyes) with chronic dacryocystitis underwent intranasal endoscopic holmium laser-assisted dacryocystorhinostomy.The postoperative follow-up included lacrimal irrigation and intranasal endoscopic examination. Results The patients were followed up for 3 to 6 months.The cure rate was 87.2%,the improvement rate was 6.4%,and the total e...
Keywords:endoscope  holmium laser  chronic dacryocystitis  ostium  follow up  
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