鼻内镜下三瓣法行鼻腔泪囊吻合术临床研究

发布时间：2018-03-29 07:08

本文选题：鼻内镜　切入点：三瓣法　出处：《中国内镜杂志》2014年07期

【摘要】：目的探讨经鼻内镜鼻腔泪囊吻合术治疗慢性泪囊炎的方法及临床效果。方法回顾性分析改良鼻内镜下鼻腔泪囊吻合术治疗慢性泪囊炎14例(16眼)资料,该组患者均采用"三瓣法"行鼻内镜下手术治疗,术中造瘘口不放置扩张管,黏膜瓣不使用钛夹及缝合法固定。结果术后随访6个月以上,有效率93.75%(15/16)。结论鼻内镜下三瓣法行鼻腔泪囊吻合术治疗慢性泪囊炎疗效满意,避免了面部遗留瘢痕,保留泪液泵功能,术中不放置扩张管及钛夹,术后恢复快,成功率高,值得推广。
[Abstract]:Objective to investigate the treatment of chronic dacryocystitis by endoscopic nasolacrimal sac anastomosis and its clinical effect. Methods the data of 14 cases (16 eyes) of chronic dacryocystitis treated by modified endoscopic dacryocystostomy were retrospectively analyzed. All the patients were treated by "three-flap method" under nasal endoscope. No dilated tube was placed in the fistula orifice, and the mucosal flap was not fixed by titanium clip or suture. Results the follow-up was more than 6 months after operation. Conclusion the nasolacrimal sac anastomosis under nasal endoscope has satisfactory curative effect on chronic dacryocystitis, avoids facial scar, preserves tear pump function, does not place dilatation tube and titanium clip during operation, recovers quickly after operation and has high success rate. It is worth popularizing.
【作者单位】：陕西省核工业215医院耳鼻咽喉头颈外科;
【分类号】：R779.6

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