改良鼻内窥镜下泪囊鼻腔吻合联合置管术和丝裂霉素C治疗慢性泪囊炎

目的:探讨慢性泪囊炎手术治疗的有效方法。方法:收集30例慢性泪囊炎患者,行改良鼻内窥镜下泪囊鼻腔吻合联合置管术和丝裂霉素C应用慢性泪囊炎疗效观察。结果:术后随访6～24mo,治愈29例,治愈率97%,无效1例。结论:改良鼻内窥镜下泪囊鼻腔吻合联合置管术和丝裂霉素C应用治疗慢性泪囊炎具有治愈率高,面部无瘢痕,出血少,进路直接,泪囊定位准确,同时丝裂霉素棉片留置,有抑制创面肉芽组织生长和纤维瘢痕形成,提高手术成功率。

Treatment of chronic dacryocystitis with improved nasal endoscopic dacryocystorhinostomy combined with nasolacrimal intubation and mitomycin C

·AIM:To discuss an effective surgery method for chronic dacryocystitis.·METHODS:Thirty patients with chronic dacryocystitis were collected and performed the improved nasal endoscopic dacryocystorhinostomy combined with nasolacrimal intubation and mitomycin C,the effect was observed.·RESULTS:The postoperative follow-up ranged from 6 months to 24 months,29 patients were cured,the cure rate was 97%,1 case failed.·CONCLUSION:Improved nasal endoscopic dacryocy-storhinostomy combined with nasolacrimal intubation and mitomycin C has higher cure rate,little hemorrhage and no scar of face,accurate location,at the same time,the mitomycin cotton was remained,which can prevent the growth of granulation tissue and the formation of fibrous scar,so it can increase the success rate of operation.·