外路鼻腔泪囊吻合术与鼻内镜下鼻腔泪囊吻合术治疗慢性泪囊炎的远期效果及并发症(1)
【摘要】 目的：研 究外路鼻腔泪囊吻合术与鼻内镜下鼻腔泪囊吻合术治疗慢性泪囊炎的远期效果及并发症。方法：择取2017年1月-2018年1月笔者所在医院慢性泪囊炎患者118例为研究对象，随机分为研究组(鼻内镜下鼻腔泪囊吻合术)与对照组(外路鼻腔泪囊吻合术)，各59例，比较两组手术指标、疼痛评分、治疗总有效率、并发症发生率与复发率。结果：研究组手术时间、住院时间均短于对照组，术中出血量少于对照组，疼痛评分低于对照组，差异均有统计学意义(P<0.05)。研究组治疗总有效率(98.30%)高于对照组(86.44%)，差异有统计学意义(P<0.05)。研究组并发症发生率(5.08%)及复发率(1.69%)均低于对照组(16.94%、11.86%)，差异均有统计学意义(P<0.05)。结论：对慢性泪囊炎患者采用鼻内镜下鼻腔泪囊吻合术治疗能预防并发症与病情复发，值得借鉴。
【关键词】 外路鼻腔泪囊吻合术; 鼻内镜下鼻腔泪囊吻合术; 慢性泪囊炎; 远期疗效
doi：10.14033/j.cnki.cfmr.2019.26.001 文献标识码 A 文章编号 1674-6805(2019)26-000-03
Long-term Efficacy and Complications of External Dacryocystorhinostomy and Endoscopic Dacryocystorhinostomy in Treatment of Chronic Dacryocystitis/CHEN Junxiao.//Chinese and Foreign Medical Research，2019，17(26)：-3
【Abstract】 Objective：To study the long-term efficacy and complications of external dacryocystorhinostomy and endoscopic dacryocystorhinostomy in treatment of chronic dacryocystitis.Method：A total of 118 patients with chronic dacryocystitis in our hospital from January 2017 to January 2018 were randomly divided into the study group(endoscopic nasolacrimal sac anastomosis) and the control group(external nasolacrimal sac anastomosis)，with 59 cases in each group.The operative indexes，pain threshold，effective rate，complication rate and recurrence rate were compared.Result：The operation time and hospitalization time in the study group were shorter than those in the control group，the amount of bleeding during operation was less than that in the control group，and the pain score was lower than that in the control group，the differences were statistically significant(P<0.05).The total effective rate of treatment in the study group(98.30%) was higher than that in the control group(86.44%)，the difference was statistically significant(P<0.05).The incidence of complications(5.08%) and recurrence rate(1.69%) in the study group were significantly lower than those in the control group(16.94%，11.86%)，the differences were statistically significant(P<0.05).Conclusion：External dacryocystorhinostomy can prevent complications and recurrence of chronic dacryocystitis，which is worth learning.
【Key words】 External dacryocystorhinostomy; Endoscopic dacryocystorhinostomy; Chronic dacryocystitis; Long-term efficacy
First-author’s address：Ningde Hospital Affiliated to Fujian Medical University，Ningde 352100，China
慢性淚囊炎是临床常见的眼科病症，由鼻泪管狭窄或阻塞造成，致病因素多与生活卫生不洁、沙眼、泪道外伤、鼻炎、鼻息肉、下鼻甲肥大等因素造成泪液不能正常排出有关，泪液长期残留至泪囊伴有细菌感染导致机体发生脓性分泌物，患者表现为溢泪、溢脓症状，临床治疗手段以手术为主，采取泪囊下造孔方式能将泪道阻塞情况解决，传统治疗措施采用外路鼻腔泪囊吻合术，其能将泪囊与鼻腔间的通道开通，但术后存在较多并发症，导致面部存在瘢痕，不满足患者对美观的需求，随着现代医疗事业发展，鼻内镜在临床被广泛应用，疗效确切并达到预期治疗目的[1]。为分析外路鼻腔泪囊吻合术与鼻内镜下鼻腔泪囊吻合术治疗慢性泪囊炎的远期效果及并发症，报道如下。, http://www.100md.com(陈君晓)
【关键词】 外路鼻腔泪囊吻合术; 鼻内镜下鼻腔泪囊吻合术; 慢性泪囊炎; 远期疗效
doi：10.14033/j.cnki.cfmr.2019.26.001 文献标识码 A 文章编号 1674-6805(2019)26-000-03
Long-term Efficacy and Complications of External Dacryocystorhinostomy and Endoscopic Dacryocystorhinostomy in Treatment of Chronic Dacryocystitis/CHEN Junxiao.//Chinese and Foreign Medical Research，2019，17(26)：-3
【Abstract】 Objective：To study the long-term efficacy and complications of external dacryocystorhinostomy and endoscopic dacryocystorhinostomy in treatment of chronic dacryocystitis.Method：A total of 118 patients with chronic dacryocystitis in our hospital from January 2017 to January 2018 were randomly divided into the study group(endoscopic nasolacrimal sac anastomosis) and the control group(external nasolacrimal sac anastomosis)，with 59 cases in each group.The operative indexes，pain threshold，effective rate，complication rate and recurrence rate were compared.Result：The operation time and hospitalization time in the study group were shorter than those in the control group，the amount of bleeding during operation was less than that in the control group，and the pain score was lower than that in the control group，the differences were statistically significant(P<0.05).The total effective rate of treatment in the study group(98.30%) was higher than that in the control group(86.44%)，the difference was statistically significant(P<0.05).The incidence of complications(5.08%) and recurrence rate(1.69%) in the study group were significantly lower than those in the control group(16.94%，11.86%)，the differences were statistically significant(P<0.05).Conclusion：External dacryocystorhinostomy can prevent complications and recurrence of chronic dacryocystitis，which is worth learning.
【Key words】 External dacryocystorhinostomy; Endoscopic dacryocystorhinostomy; Chronic dacryocystitis; Long-term efficacy
First-author’s address：Ningde Hospital Affiliated to Fujian Medical University，Ningde 352100，China
慢性淚囊炎是临床常见的眼科病症，由鼻泪管狭窄或阻塞造成，致病因素多与生活卫生不洁、沙眼、泪道外伤、鼻炎、鼻息肉、下鼻甲肥大等因素造成泪液不能正常排出有关，泪液长期残留至泪囊伴有细菌感染导致机体发生脓性分泌物，患者表现为溢泪、溢脓症状，临床治疗手段以手术为主，采取泪囊下造孔方式能将泪道阻塞情况解决，传统治疗措施采用外路鼻腔泪囊吻合术，其能将泪囊与鼻腔间的通道开通，但术后存在较多并发症，导致面部存在瘢痕，不满足患者对美观的需求，随着现代医疗事业发展，鼻内镜在临床被广泛应用，疗效确切并达到预期治疗目的[1]。为分析外路鼻腔泪囊吻合术与鼻内镜下鼻腔泪囊吻合术治疗慢性泪囊炎的远期效果及并发症，报道如下。, http://www.100md.com(陈君晓)
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