CAJ | 학술논문

目的：比较鼻内镜下鼻腔泪囊造孔术与传统泪囊鼻腔吻合术的疗效。方法取自我院2009年3月～2012年10月间慢性泪囊炎患者78例（80眼），随机分为鼻内镜下治疗组42眼和对照组38眼。治疗组采用经鼻内镜下鼻腔泪囊造孔术，对照组采用传统面部切口泪囊鼻腔吻合术。结果术后随访3～6个月。治疗组治愈率87.50％，对照组89.47％，两组患者治愈率差异无统计学意义（P >0.05）。结论经鼻内镜下行鼻腔造孔术具有操作简便、时间短、出血少、面部不留疤痕等较多优点，其手术效果接近于传统手术，符合现代外科手术微创要求，值得推广。
목적：비교비내경하비강루낭조공술여전통루낭비강문합술적료효。방법취자아원2009년3월～2012년10월간만성루낭염환자78례（80안），수궤분위비내경하치료조42안화대조조38안。치료조채용경비내경하비강루낭조공술，대조조채용전통면부절구루낭비강문합술。결과술후수방3～6개월。치료조치유솔87.50％，대조조89.47％，량조환자치유솔차이무통계학의의（P >0.05）。결론경비내경하행비강조공술구유조작간편、시간단、출혈소、면부불류파흔등교다우점，기수술효과접근우전통수술，부합현대외과수술미창요구，치득추엄。
Objective to compare the nasal endoscopic nasal lacrimal sac pore-forming technique with traditional lacrimal sac the curative effect of nasal cavity anastomosis. Methods from March 2009 to october 2012 patients with chronic dacryocystitis between 78 cases (80 eyes), were randomly divided into treatment group (42 eyes and endoscopic control group 38 eyes. treatment group with nasal endoscopic nasal lacrimal sac pore, the control group with traditional facial incision anastomosis of lacrimal sac nasal cavity. Results Were followed up for 3 ~ 6 months after surgery. treatment group cure rate 87.50%, control group 89.47%, cure rate differences between two groups of patients have no statistical significance (P > 0.05). Conclusion the downward nasal endoscope pore technique has simple operation, short time, less bleeding and face any more advantages, such as its operation effect is close to traditional surgery, conform to the requirements of the modern minimally invasive surgery, is worth promoting.