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内窥镜下泪囊鼻腔造孔术治疗慢性泪囊炎
引用本文:刘红兵,刘月辉. 内窥镜下泪囊鼻腔造孔术治疗慢性泪囊炎[J]. 实用临床医学(江西), 2006, 7(5): 116-117,119
作者姓名:刘红兵  刘月辉
作者单位:南昌大学第二附属医院耳鼻咽喉-头颈外科,江西南昌330006
摘    要:目的:探讨鼻内窥镜下泪囊鼻腔造孔术治疗慢性泪囊炎的疗效。方法:18例(22眼)慢性泪囊炎患者,在全身麻醉下,0。硬管鼻内窥镜指引下,实施泪囊鼻腔造孔术,术中不置管。同时7例合并鼻腔、鼻窦病变(鼻息肉、慢性鼻宴炎2例。鼻中隔偏曲5例),同时进行相应手术治疗。结果:术后随访3至18个月,治愈12例(15眼),好转4例(5眼),无效2例(2眼),有效率为90.9%。无明显并发症。结论:内窥镜下泪囊造孔术是治疗慢性泪囊炎的理想方法,可避免颜面部切口,损伤小、疗效高。同时可处理鼻腔、鼻窦疾病。

关 键 词:鼻内窥镜  泪囊鼻腔造孔术  泪囊炎
文章编号:1009-8194(2006)05-0116-02
收稿时间:2006-03-16
修稿时间:2006-03-16

Intranasal Endoscopic Dacryocystorhinostomy for Chronic Dacryocstitis
Liu Hong-bing,Liu Yue-hui. Intranasal Endoscopic Dacryocystorhinostomy for Chronic Dacryocstitis[J]. Practical Clinical Medicine, 2006, 7(5): 116-117,119
Authors:Liu Hong-bing  Liu Yue-hui
Affiliation:Department of Otolaryngology , The Second Affiliated Hospital of NanChang University, Nanchang 330006, China
Abstract:Objective:To analyze the outcome after intranasal endoscopic dacryocystorhinostomy.Methods: Endoscopic dacryocystorhinostomy was performed in 22 sides of 18 patients who had chronic epiphora.No silicone tubing was used in any of the cases.Among them 7 with deviation of nasal septum or nasal polyps and chronic sinusitis were treated at same time.Results: After a follow-up of 3 to 18 months,15 out of 22 sides of the patients were free of symptoms.Four additional patients(5 sides) became symptom-free after surgery.The total success rate was 90.9%.Conclusion: Intranasal endoscopic dacryocystorhinostomy is a rapid,safe,and elegant method for the treatment of chronic dacryocstitis.
Keywords:intranasal endoscopic   dacryocystorhinostomy   chronic dacryocstitis
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