CAJ | 학술논문

目的：观察改良外路泪囊鼻腔吻合术疗效。 　　方法：回顾性分析我院2010-10/2013-12单侧慢性泪囊炎患者94例,行外路泪囊鼻腔吻合术,手术方法在传统术式上进行以下改良：(1)麻醉后填塞鼻腔,减轻疼痛和出血；(2)手术中不切断内眦韧带；(3)只缝合鼻黏膜上瓣；(4)置管；(5)皮肤分层美容缝合。术后随访3mo ~2a,观察疗效。 　　结果：患者94例94眼,术后93例93眼溢泪、溢脓症状完全消失,泪道冲洗通畅,有效率99%；无效1例1眼(1%)溢泪,泪道冲洗不通畅。 　　结论：改良外路泪囊鼻腔吻合术操作简单、治愈率高、远期疗效确切,是治疗慢性泪囊炎的有效手术方法。
목적：관찰개량외로루낭비강문합술료효。 　　방법：회고성분석아원2010-10/2013-12단측만성루낭염환자94례,행외로루낭비강문합술,수술방법재전통술식상진행이하개량：(1)마취후전새비강,감경동통화출혈；(2)수술중불절단내자인대；(3)지봉합비점막상판；(4)치관；(5)피부분층미용봉합。술후수방3mo ~2a,관찰료효。 　　결과：환자94례94안,술후93례93안일루、일농증상완전소실,루도충세통창,유효솔99%；무효1례1안(1%)일루,루도충세불통창。 　　결론：개량외로루낭비강문합술조작간단、치유솔고、원기료효학절,시치료만성루낭염적유효수술방법。
AlM: To observe the therapeutic effects of improved external dacryocystorhinostomy. METHODS:Retrospective analysis on 94 patients with monocular chronic dacryocystitis in our hospital from October 2010 to December 2013 were taken the improved external dacryocystorhinostomy. The improved surgery which was based on the traditional surgery including: 1. Nasal packing after anesthesia to relieve the pain and bleeding; 2. Not cut the medial palpebral ligament; 3. Suture the upper membrane of the nasal mucosa only;4. Pipe placement;5. Skin layered hairdressing suture. The patients were follow-up 3mo-2a after operation. RESULTS: Ninety-three cases of patients cured with completely asymptomatic, no epiphora or mucopurulent secretion flow out from the lacrimal punctum, unobstructed lacrimal irrigation, the efficiency is 99%, 1 case of patient was epiphora, obstructed lacrimal irrigation, 1% was invalid. CONCLUSlON:The improved external dacryocystorhinostomy is an effective surgical method which is easy to operate with high cure rate and its long term effect is precise.