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鼻内窥镜下激光鼻泪管开口成形术治疗先天性泪囊炎临床观察
引用本文:付敏,熊丹宁,吕娟.鼻内窥镜下激光鼻泪管开口成形术治疗先天性泪囊炎临床观察[J].临床和实验医学杂志,2012,11(21):1712-1713.
作者姓名:付敏  熊丹宁  吕娟
作者单位:[1]南方医科大学附属深圳妇幼保健院眼科,广东深圳518048 [2]深圳市龙岗区中心医院耳鼻喉科,广东深圳518116
摘    要:目的探讨在鼻内窥镜下行激光鼻泪管开口成形术治疗先天性泪囊炎的临床疗效。方法经保守治疗及其他方法治疗无效的先天性泪囊炎125例136只眼,采用KTP泪道激光机,在鼻内窥镜直视下射击鼻泪管开口处,造1个5mm大小出口,使其接近生理性出口,观察临床疗效及并发症。随访3~6个月。结果 125例136只眼中,治疗痊愈者123例134只眼(98.53%),好转2例2只眼(1.47%)。仅2例术中鼻腔少许出血,无其他手术并发症。结论鼻内窥镜直视下激光鼻泪管开口成形术治疗先天性泪囊炎,成功率高,并发症少,是保守治疗先天性泪囊炎无效后的首选方法之一。

关 键 词:先天性泪囊炎  鼻泪管开口  激光  鼻内窥镜

Study on effect of intranasal endoscopic dacryocystorhinostomy with KTP laser in treatment of congenital dacryocystitis
FU Min,XIONG Dan - ning,LV Juan.Study on effect of intranasal endoscopic dacryocystorhinostomy with KTP laser in treatment of congenital dacryocystitis[J].Journal of Clinical and Experimental Medicine,2012,11(21):1712-1713.
Authors:FU Min  XIONG Dan - ning  LV Juan
Institution:1. Department of Ophthalmology, Shenzhen Maternity and Child Healthcare Hospital, Shenzhen, Guangdong 518048, China ; 2. Department of Otorhinolaryngology , Shenzhen Longgong District Center Hospital, Shenzhen , Guangdong 518116, China.
Abstract:Objective To evaluate the effect of intranasal endoscopic dacryocystorhinostomy with KTP laser in treatment of congenital daeryocystitis. Methods A total of 136 eyes of 125 patients with congenital dacryocystitis were treated by intranasal endoscopic dacryocystorhinostomy with KTP laser, they were failed with other therapeutic methods. All patients were followed up for 3 - 6 months. Results Altogether 134 eyes (98.53%) were cured; and 2 eyes ( 1.47% ) were improved after treatment. No serious complications had been observed. Conclusion The procedure of intranasal endoscopic dacryocystorhinostomy with KTP laser in treatment of congenital dacryocystitis is effective and safe.
Keywords:Congenital dacryocystitis  The gap of ductus nasolacrimalis  Laser  Intranasal endoscopy
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