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慢性泪囊炎的主要治疗方法是行鼻腔泪囊吻合术,骨孔内鼻粘膜能否保留完全,以及泪囊前瓣能否充分张开是手术成功与否的关键。过去在造骨孔时大多用骨凿凿孔,比较费时;还有使病人不安的声响及震动,且易损伤鼻粘膜造成出血,增加了手术的难度及时间。从1992年3月以来我们用咬骨钳遗骨孔前瓣悬吊缝合的方法行鼻腔泪囊吻合术50例,效果满意,报告如下。 1 资料、方法及结果 1.1 临床资料:50例慢性泪囊炎中,男4例,女46例,男女之比为1:11.5。全部为单眼患者;右眼28例,占56％,左跟22例,占44％。年龄19—75岁,平均37.5岁。病程最长者9年,最短者3个月。
The main treatment of chronic dacryocystitis is nasal dacryocystorhinostomy, the nasal mucosa can be kept completely in the hole, and the dilatation of the anterior lacrimal flap is the key to the success of surgery. In the past, most of the bone-making holes were cut with a bone chisel, which was time-consuming. There was noise and vibration that disturbed the patient and easily damaged the nasal mucosa resulting in bleeding and increased the difficulty and time of the operation. Since March 1992 we use rongeur bone anterior orifice suspension suture nasal dacryocystorhinostomy 50 cases, the results are satisfactory, the report is as follows. 1 Materials, Methods and Results 1.1 Clinical data: 50 cases of chronic dacryocystitis, 4 males and 46 females, male to female ratio of 1: 11.5. All patients were monocular; right eye 28 cases, accounting for 56%, left with 22 cases, accounting for 44%. 19-75 years old, average 37.5 years old. The longest course of 9 years, the shortest of 3 months.