鼻内窥镜下鼻腔泪囊吻合术联合新型硅胶管和丝裂霉素C治疗慢性鼻泪管阻塞30眼效果观察

目的观察鼻腔泪囊吻合术联合新型硅胶管和丝裂霉素C治疗鼻泪管阻塞的临床疗效。方法60眼慢性鼻泪管阻塞，采用泪囊鼻腔吻合术联合新型硅胶管，随机抽取30眼术中使用丝裂霉素C，对照组30眼未使用丝裂霉素C。结果术后随访3-12个月。丝裂霉素组有效率为93．3％；对照组有效率为70．O％，差异有显著性（P〈O．05）。结论鼻腔泪囊吻合术联合新型硅胶管加丝裂霉素C治疗鼻泪管阻塞操作安全、创伤小、疗效好，容易掌握和推广。

Study on treatment for 30 eyes with chronic nasal obstruction by endoscopic dacryocys-torhinostomy combined with novel silica gel tube and mitomycin C

Objective To observe the clinical efficacy of dacryocystorhinostomy combined with novel silica gel tube and mitomycin C in the treatment for nasolacrimal duct obstruction. Methods 60 eyes with chronic nasal obstruction were performed dacryocystorhinostomy combined with novel silica gel, combined with nasolacrimal intubation and mitomycin C, a random sample of 30 eyes used mitomycin C, other 30 eyes in the control group did not use mitomyein C. Results The postoperative follow up ranged from 3 to 12 months. For the 30 eyes using mitomycin C, the cure rate was 93.3%, while the cure rate in 30 eyes in the control group was 70.0%, the difference was statistically significant（/）〈 0.05）. Conclusion Dacryocystorhinostomy combined with novel silica gel tube and mitomyein C in the treatment for nasolac- ritual duct obstruction is safe, with small trauma and good effect, and easy to be mastered and to have promotion.