CAJ | 학술논문

目的：研究用泪囊鼻腔造口植皮术重建泪道，以治疗慢性泪囊炎。方法：经鼻前孔切开鼻丘部黏膜及骨质，暴露泪囊，于鼻内窥镜下造口，并于造口周围处植入替耳氏皮瓣，以促进创面愈合，防止肉芽形成，保证泪道通畅。结果：用泪囊鼻腔造口植皮术治疗慢性泪囊炎71例、76眼，经随访观察半年，治愈率达 97％。结论：泪囊鼻腔造口植皮术手术创伤小，不需面部切口，并发症少，优于传统的鼻腔泪囊吻合术。
목적：연구용루낭비강조구식피술중건루도，이치료만성루낭염。방법：경비전공절개비구부점 막급골질，폭로루낭，우비내규경하조구，병우조구주위처식입체이씨피판，이촉진창면유합，방지육아형성， 보증루도통창。결과：용루낭비강조구식피술치료만성루낭염71례、76안，경수방관찰반년，치유솔체 97％。결론：루낭비강조구식피술수술창상소，불수면부절구，병발증소，우우전통적비강루낭문합술。
Objective: To treat chronic dacryocystitis by rebuild the lacrimal passage with skin grafting and dacry ocystorhinostomy. Methods:The authors incised the lateral wall of nasal cavity in front of middle nasal meatus to expose the dacryocyst through piriform aperture, performed dacryocystorhinostomy under intranasal endoscope, then transplanted the skin flap to accelerate the healing of the surface of wound, so they can get unobstructed lacrimal passage. Result: 76 eyes from 71 cases with chronic dacryocystitis were treated with this operative method and followed up over half a year, the curative rate was 97 %. Conclusion: With small injure and few complications, this method is superior to the traditional dacryocystorhinostomy.