CAJ | 학술논문

【目的】探讨改良鼻内镜下鼻腔泪囊造孔引流术治疗慢性泪囊炎急性发作的疗效。【方法】收集行鼻内镜下改良鼻腔泪囊造孔引流术患者26例，观察其治愈率、有效率及并发症情况。【结果】26例患者均手术顺利，术中出血量少，手术后4 d左右患者泪囊区炎症得到控制。所有患者均随访6个月，治愈率为92．3％（24/26）；1例有溢泪，冲洗液部分经上下泪小管互为反流，评价为好转，有效率为96．2％（25/26），1例有溢泪伴分泌物，鼻内镜下见造孔瘢痕闭锁，评价为无效，无效率为3．8％（1/26）；无明显并发症。【结论】对于慢性泪囊炎急性发作患者，急性期采取鼻腔泪囊造孔引流术是安全可行的。
【목적】탐토개량비내경하비강루낭조공인류술치료만성루낭염급성발작적료효。【방법】수집행비내경하개량비강루낭조공인류술환자26례，관찰기치유솔、유효솔급병발증정황。【결과】26례환자균수술순리，술중출혈량소，수술후4 d좌우환자루낭구염증득도공제。소유환자균수방6개월，치유솔위92．3％（24/26）；1례유일루，충세액부분경상하루소관호위반류，평개위호전，유효솔위96．2％（25/26），1례유일루반분비물，비내경하견조공반흔폐쇄，평개위무효，무효솔위3．8％（1/26）；무명현병발증。【결론】대우만성루낭염급성발작환자，급성기채취비강루낭조공인류술시안전가행적。
Objective To explore the efficacy of the modified intranasal endoscopic dacryocystorhinostomy for the treatment of acute attack of chronic dacryocystitis .[Methods] A total of 26 patients with acute attack of chronic dacryo-cystitis undergoing the modified intranasal endoscopic dacryocystorhinostomy were collected .The curative rate ,effective rate and complications were observed .[Results]All 26 patients successfully underwent the operation with less intraopera-tive blood loss .Dacryocyst inflammation of patients was controlled about 4d after operation .All patients were followed up for 6 months .The curative rate was 92 .3% (24/26) .One patient with epiphora had the washing liquid reflux between upper and lower lacrimal canaliculi and was evaluated as improvement .The effective rate was 96 .2% (25/26) .One pa-tient with epiphora and secretions had the stoma scar atresia under endoscope and was evaluated as inefficiency .The ineffi-ciency rate was 3 .8% (1/26) .No obvious complication occurred .[Conclusion] Acute phase dacryocystorhinostomy for the treatment of chronic dacryocystitis patients with acute attack is safe and feasible .