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目的探讨慢性泪囊炎合并下泪小管阻塞的手术治疗方法和疗效。方法对126例(128眼)在局麻下行泪囊鼻腔吻合联合泪小管置管术,根据术中下泪小管情况决定术后拔管时间,一般在术后4~12周,拔管后观察泪道通畅情况。结果126例(128眼)中有6例(6眼,4.69%)拔管后下泪小管再次阻塞,赴上级医院行泪道激光治疗,一次治愈率达95.31%。结论泪囊鼻腔吻合联合泪小管置管术治疗慢性泪囊炎合并下泪小管阻塞效果较好。
Objective To investigate the surgical treatment and curative effect of chronic dacryocystitis with lacrimal duct obstruction. Methods 126 cases (128 eyes) under local anesthesia under nasal dacryocystorhinostomy combined with canalicular catheterization, according to intraoperative and lacrimal canal decidual drainage time, usually 4 to 12 weeks after the operation, after extubation Tears patency. Results Of the 126 cases (128 eyes), 6 (6 eyes, 4.69%) had tears in the lacrimal canal after extubation. They went to lacrimal duct laser treatment in the superior hospital for a cure rate of 95.31%. Conclusion Dacryocystorhinostomy combined with drainage of canalicular canal is effective in treating chronic dacryocystitis with lacrimal duct obstruction.