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鼻内窥镜引导下逆行泪道置管术治疗慢性泪囊炎
引用本文:张磊,贝明珍,黄芳,蔡海英,沈枫,刘丽华.鼻内窥镜引导下逆行泪道置管术治疗慢性泪囊炎[J].国际眼科杂志,2014,14(1):169-170.
作者姓名:张磊  贝明珍  黄芳  蔡海英  沈枫  刘丽华
作者单位:中国上海市杨浦区中心医院眼科;中国上海市杨浦区中心医院眼科;中国上海市杨浦区中心医院眼科;中国上海市杨浦区中心医院眼科;中国上海市杨浦区中心医院眼科;中国上海市杨浦区中心医院眼科
摘    要:目的:探讨鼻内窥镜引导下逆行泪道置管术治疗慢性泪囊炎的手术技巧与疗效观察。

方法:对45例52眼慢性泪囊炎患者行逆行泪道置管术,术中在鼻内窥镜显示器引导下查找探针头部并取出金属导丝,术后2~3mo拔管,观察术后疗效。

结果:所有患者手术顺利进行,术中未见明显鼻黏膜出血等并发症,拔管后随访3~5mo,治愈41眼(79%),好转4眼(8%),无效7眼(13%)。有效率87%。

结论:在鼻内窥镜引导下行逆行泪道置管术可缩短手术时间,减少鼻黏膜损伤出血,使手术顺利进行。

关 键 词:慢性泪囊炎    泪道置管    鼻内窥镜
收稿时间:2013/10/17 0:00:00
修稿时间:2013/12/11 0:00:00

Study of retrograde lacrimal intubation on the treatment of chronic dacryocystitis with nasal endoscopic
Lei Zhang,Ming-Zhen Bei,Fang Huang,Hai-Ying Cai,Feng Shen and Li-Hua Liu.Study of retrograde lacrimal intubation on the treatment of chronic dacryocystitis with nasal endoscopic[J].International Journal of Ophthalmology,2014,14(1):169-170.
Authors:Lei Zhang  Ming-Zhen Bei  Fang Huang  Hai-Ying Cai  Feng Shen and Li-Hua Liu
Institution:Department of Ophthalmology, Central Hospital of Yangpu District, Shanghai 200090, China;Department of Ophthalmology, Central Hospital of Yangpu District, Shanghai 200090, China;Department of Ophthalmology, Central Hospital of Yangpu District, Shanghai 200090, China;Department of Ophthalmology, Central Hospital of Yangpu District, Shanghai 200090, China;Department of Ophthalmology, Central Hospital of Yangpu District, Shanghai 200090, China;Department of Ophthalmology, Central Hospital of Yangpu District, Shanghai 200090, China
Abstract:AIM: To evaluate the surgery skill and efficacy of retrograde lacrimal intubation on treatment of chronic dacryocystitis with nasal endoscopic.

METHODS: Totally 45 patients(52 eyes)with chronic dacryocystitis in this study received retrograde lacrimal intubation by nasal endoscopic, and the tube was removed after placing 2-3 months. The efficacy was observed after surgery.

RESULTS: All operations on the patients were conducted successfully, and no serious complications during and after surgery. 41 eyes(79%)were cured, 4 eyes(8%)were improved and 7 eyes(13%)had no effective improvement. The effective rate was 87%.

CONCLUSION: Retrograde lacrimal intubation on treatment of chronic dacryocystitis with nasal endoscopic can make the surgery safer, easier and less injury.

Keywords:chronic dacryocystitis  intubation  nasal endoscope
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