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目的:观察改良的鼻腔泪囊吻合术治疗慢性泪囊炎的疗效。方法:回顾性分析手术有完整随访记录的88例,术后随访6～36个月,平均12个月。结果:术后94只眼治愈91只眼,其中2例为患侧行激光治疗后不通,再行鼻腔泪囊吻合术,术中发现患者鼻腔黏膜及泪囊周围组织粘连明显,术后泪道冲洗仍不通,另1例为泪囊极小,仅为米粒大小之泪囊,吻合后泪道冲洗早期通畅,2周后不通。1例患者拆线1d后出现鼻腔黏膜大出血,考虑为鼻腔处痂皮脱落时所致之出血,予以行鼻腔前鼻道填塞后应用止血药物后未再出血。结论:改良式鼻腔泪囊黏膜吻合术是治疗慢性泪囊炎的一种较理想的手术方式。
Objective: To observe the effect of modified nasal dacryocystorhinostomy for chronic dacryocystitis. Methods: A retrospective analysis of 88 cases of complete follow-up surgery was followed up for 6 to 36 months with an average of 12 months. Results: Ninety-one eyes were cured in 94 eyes, two of them were unresectable after laser treatment. The nasal dacryocystorhinostomy was performed again. The nasal mucosa and the tissue around the lacrimal sac were found to be adherent and the lacrimal duct was washed Still not pass, the other 1 case of small dacryocyst, only the size of the lacrimal sac of rice, lacrimal duct anastomosis early patency, 2 weeks after barrier. One case of patients with stitches nasal mucosa hemorrhage after 1d stitches, consider nasal cesarean section shedding caused by bleeding, to be nasal anterior nasal packing after hemostatic drugs without bleeding. Conclusion: Modified nasal lacrimal sac and mucosal anastomosis is a more ideal surgical treatment of chronic dacryocystitis.