鼻内镜下鼻腔泪囊造孔术与传统泪囊鼻腔吻合术的比较

目的比较经鼻内镜下鼻腔泪囊吻合术与传统泪囊鼻腔吻合术的疗效。方法回顾性分析64例（64只眼）慢性泪囊炎患者手术治疗效果。其中经鼻内镜下行鼻腔泪囊吻合术33例,采用传统泪囊鼻腔吻合术治疗31例。结果鼻内镜组：泪道冲洗通畅者32例（97%）。1例通畅度不满意（3%）。传统吻合组：泪道冲洗通畅者29例（93.5%）,2例通畅度不满意（6.5%）。两组比较差异无统计学意义（P〉O.O5）。结论经鼻内镜下行鼻腔泪囊吻合术具有较多优点,其手术效果接近于传统手术,符合现代外科手术微创要求,避免了面部疤痕,满足了患者美容的需求。

Comparison of intranasal endoscopic dacryocystorhinostomy and routine dacryocystorhinostomy on chronic dacryocystitis

Objective To compare the effects of intranasal endoscopic dacryocystorhinotomy with routine dacryocystorhinostomy on chronic dacryocystitis.Methods 64 cases were studied retrospectively including 33 cases on intranasal endoscopic dacryocystorhinostomy and 31 cases on routine dacryocystorhinostomy.Results In the intranasal endoscopic group,32（97%）of 33 cases had good Results,and the other 1（3%）case was not satisfactory;while in the routine group,29（93.5%）of 31 cases had good results and the other 2（6.5%）not satisfactory.There was no statistical significance in comparing the two groups（P〉0.05）.Conclusion The intranasal endoscopic dacryocystorhinstomy is an effective mini-invasive operation with no facial surgical scar