国际眼科杂志
國際眼科雜誌
국제안과잡지
INTERNATIONAL JOURNAL OF OPHTHALMOLOGY
2014年
4期
771-773
,共3页
罗中伶%张立新%岳耀光%朱国平%骆晓芳
囉中伶%張立新%嶽耀光%硃國平%駱曉芳
라중령%장립신%악요광%주국평%락효방
鼻内窥镜%泪囊鼻腔吻合术%常见问题%处理
鼻內窺鏡%淚囊鼻腔吻閤術%常見問題%處理
비내규경%루낭비강문합술%상견문제%처리
nasalendoscope%dacryocystorhinostomy%common problems%treatment
目的：探讨鼻内镜下泪囊鼻腔吻合术中常见的问题及处理对策。<br> 方法：回顾我院2011-03／2013-06采用高频电刀切开鼻腔黏膜、术中止血、烧灼固定泪囊黏膜瓣与鼻黏膜瓣，亚甲蓝泪囊染色，以及泪道引流管植入和膨胀海棉支撑固定吻合口等方法，行鼻内镜下泪囊鼻腔吻合术37例43眼，观察手术效果，探讨术中常见的问题及处理方法。<br> 结果：本组37例43眼，治愈42眼（97．7％），好转1眼（2.3％），总有效率100％；所有手术均顺利完成，术中未出现严重并发症。<br> 结论：采用高频电刀切开鼻腔黏膜、术中止血、烧灼固定黏膜瓣，亚甲蓝泪囊染色，以及泪道引流管植入和膨胀海棉支撑固定吻合口等方法，能够有效地处理这些术中常见的问题，提高手术的成功率，值得应用和推广。
目的：探討鼻內鏡下淚囊鼻腔吻閤術中常見的問題及處理對策。<br> 方法：迴顧我院2011-03／2013-06採用高頻電刀切開鼻腔黏膜、術中止血、燒灼固定淚囊黏膜瓣與鼻黏膜瓣，亞甲藍淚囊染色，以及淚道引流管植入和膨脹海棉支撐固定吻閤口等方法，行鼻內鏡下淚囊鼻腔吻閤術37例43眼，觀察手術效果，探討術中常見的問題及處理方法。<br> 結果：本組37例43眼，治愈42眼（97．7％），好轉1眼（2.3％），總有效率100％；所有手術均順利完成，術中未齣現嚴重併髮癥。<br> 結論：採用高頻電刀切開鼻腔黏膜、術中止血、燒灼固定黏膜瓣，亞甲藍淚囊染色，以及淚道引流管植入和膨脹海棉支撐固定吻閤口等方法，能夠有效地處理這些術中常見的問題，提高手術的成功率，值得應用和推廣。
목적：탐토비내경하루낭비강문합술중상견적문제급처리대책。<br> 방법：회고아원2011-03／2013-06채용고빈전도절개비강점막、술중지혈、소작고정루낭점막판여비점막판，아갑람루낭염색，이급루도인류관식입화팽창해면지탱고정문합구등방법，행비내경하루낭비강문합술37례43안，관찰수술효과，탐토술중상견적문제급처리방법。<br> 결과：본조37례43안，치유42안（97．7％），호전1안（2.3％），총유효솔100％；소유수술균순리완성，술중미출현엄중병발증。<br> 결론：채용고빈전도절개비강점막、술중지혈、소작고정점막판，아갑람루낭염색，이급루도인류관식입화팽창해면지탱고정문합구등방법，능구유효지처리저사술중상견적문제，제고수술적성공솔，치득응용화추엄。
AIM: To discuss the common problems and treatment countermeasures in dacryocystorhinostomy under nasal endoscope. <br> METHODS: The clinical data of 37 cases ( 43 eyes ) of postoperative dacryocystorhinostomy under nasal endoscope, by using high-frequency electric knife to open the nasal mucosa, hemostasis in surgery, burning fixed lacrimal sac mucosal flap and nasal mucosal flap, methylene blue staining of the lacrimal sac, lacrimal drainage tube implanted and expansion foam support fixed anastomotic methods were reviewed in our hospital from Mar.2011 to June.2013.The effects of surgery were observed, and the intraoperative common questions and the treatments were discussed. <br> RESULTS:In the 37 cases (43 eyes), 42 eyes (97.7%) were cured, and 1 eye was improved, and the total efficiency was 100%. All operations were successfully completed without any serious complications during surgery. <br> CONCLUSION: The common complication in dacryocystorhinostomy under nasal endoscope are effectively treated and the success rates of surgery are improved, by using high-frequency electric knife to open the nasal mucosa, hemostasis in surgery, burning fixed lacrimal sac mucosal flap and nasal mucosal flap, methylene blue staining of the lacrimal sac, lacrimal drainage tube implanted and expansion foam support fixed anastomotic methods.These methods are worthy of application and promotion.
