CAJ | 학술논문

目的分析探讨造成需再次泪囊鼻腔吻合术的原因及其应采取的相应对策.方法通过对32例(32只眼)再次泪囊鼻腔吻合术,详细观察,了解分析其失败的具体原因,并采取相应的治疗措施.结果在32例再次泪囊鼻腔吻合术中,发现其失败原因系泪囊未完全切开者11例,前唇吻合缝线脱落或前唇过长、过宽,致使引起前后唇接触粘连,或前唇下陷粘连者12例,吻合腔肉芽组织增生7例,泪囊过小(萎缩)2例.经再次手术的32例随访3个月,泪道冲洗通畅30例,不畅2例.成功率93.75%.结论术中细致操作,掌握好有关手术技巧及其具有预防和处理并发症的能力,是避免再次手术,取得手术成功的关键.
목적 분석탐토조성수재차루낭비강문합술적원인급기응채취적상응대책.방법 통과대32례(32지안)재차루낭비강문합술,상세관찰,료해분석기실패적구체원인,병채취상응적치료조시.결과 재32례재차루낭비강문합술중,발현기실패원인계루낭미완전절개자11례,전진문합봉선탈락혹전진과장、과관,치사인기전후진접촉점련,혹전진하함점련자12례,문합강육아조직증생7례,루낭과소(위축)2례.경재차수술적32례수방3개월,루도충세통창30례,불창2례.성공솔93.75%.결론 술중세치조작,장악호유관수술기교급기구유예방화처리병발증적능력,시피면재차수술,취득수술성공적관건.
Objective To analyze the causes and treatment strategy for repeat dacryocystorhinostomy.Methods Thirty-two patients with repeat daeryocystorhinostomy were observed and analyzed for the causes of the failure of first dacryocystorhinostomy.Results Among 32 patients needed repeat dacryocystorhinostomy,the failure causes of first dacryocystorhinostomy included incomplete incision of the mucosa of the lacrimal sac (11 cases), adhesion of the anterior lip with posterior lip for the suture fall off or the anterior lip too longer or wider (12 cases),hyperplasy of granulation tissue in the inosculating cavity (7 cases),and 2 cases with too small lacrimal sac (atrophy).During the follow-up of 3 months in 32 patients,irrigation of lacrimal passage was unblocked in 30 cases and blocked in 2 cases, thus the achievement ratio was 93.75%.Conclusions The key point of achievement a successful dacryocystorhinostomy and avoidance to repeat operation included careful manipulation in operation,possessing perfect surgical skill and ability to prevent and treat complications.