CAJ | 학술논문

目的：观察合并鼻腔结构异常的慢性泪囊炎一期鼻内镜手术的效果，探讨影响手术疗效的相关因素。方法采用随机对照设计，前瞻性地将85例（91眼）合并鼻腔结构异常的慢性泪囊炎患者分为试验组及对照组，试验组行一期鼻内镜下鼻腔结构重建手术加泪囊鼻腔造口术，对照组先行鼻内镜下鼻腔结构重建手术、二期再行鼻内镜下泪囊鼻腔造口术，比较两组有效率。结果术后随访6～20个月，试验组及对照组的有效率分别为95．9％和95．1％，差异无统计学意义（ P＞0．05）。结论一期鼻内镜手术治疗合并鼻腔结构异常的慢性泪囊炎效果满意。
목적：관찰합병비강결구이상적만성루낭염일기비내경수술적효과，탐토영향수술료효적상관인소。방법채용수궤대조설계，전첨성지장85례（91안）합병비강결구이상적만성루낭염환자분위시험조급대조조，시험조행일기비내경하비강결구중건수술가루낭비강조구술，대조조선행비내경하비강결구중건수술、이기재행비내경하루낭비강조구술，비교량조유효솔。결과술후수방6～20개월，시험조급대조조적유효솔분별위95．9％화95．1％，차이무통계학의의（ P＞0．05）。결론일기비내경수술치료합병비강결구이상적만성루낭염효과만의。
Ob j ective To explore the therapeutic effect of single-stage nasal endoscopic surgery on chronic dacryocystitis accompanied with nasal structure abnormality and the related influencing factors .Methods According to randomized controlled design ,eighty-five cases(ninety-one eyes)of chronic dacryocystitis accompanied with nasal structure abnormality were divided into experimental and control groups prospectively .The experimental group was enrolled to undergo nasal cavity structure reconstruction surgery at the time of endoscopic dacryocystorhinostomy . The control group underwent nasal structure reconstruction surgery firstly ,and endoscopic dacryocystorhinostomy at phase 2 .The effective rate of operation of the two groups was compared .Results Followed up for six~ twenty months postoperatively ,the success rate of the experimental group was 95 .9% compared with the controls 95 .1% . Conclusion The therapeutic effect of performing concurrent sinonasal surgery at the time of endoscopic dacryocys-torhinostomy on chronic dacryocystitis with nasal cavity abnormality was good .