中鼻甲腋重建在泪囊鼻腔造孔术中的应用

目的：探讨鼻内镜下经鼻泪囊鼻腔造孔术时,如何最大限度保留和利用鼻腔粘膜瓣和泪囊联合瓣,以扩大造孔与修复裸露骨质,预防造孔狭窄和肉芽增生。方法：对14例（16眼）鼻泪管阻塞患者行鼻内镜下泪囊鼻腔造孔观察其疗效。结果：全部病例术后6个月复查溢泪症状消失,造口通畅,随访6个月至3年无复发者。结论：在常规鼻内镜下经鼻泪囊鼻腔造孔时行中鼻甲腋重建,能最大限度保持鼻腔结构,预防肉芽组织增生和粘连狭窄,有效提高泪囊造孔术的临床疗效。

Reconstruction of the Middle Turbinate in Axillary Dacryocystorhinostomy

Objective： To investigate the nasal endoscopic dacryocystorhinostomy, how to maximize the retention and use of the nasal cavity and lacrimal sac mucosal flap valve joint to expand and repair pore exposed bone, the prevention of restenosis and granulation pore hyperplasia. Method： 14 cases （16 eyes） nasolacrimal duct obstruction in patients with endoscopic nasal lacrimal sac to observe the effect of pore. Re- suit： All patients reviewed after 6 months, the symptoms disappeared epiphora, patency stoma, follow - up of 6 months to 3 years without recurrence. Conclusion ： Endoscopic findings in routine nasal lacrimal nasal pore turbinate axillary line at the reconstruction of the nasal cavity to maintain the structure of the maximum to prevent the proliferation of granulation tissue and adhesion narrow pore - sac effectively improve the clinical effect of surgery.