CAJ | 학술논문

目的：探讨伴有泪小管阻塞的泪囊炎患者经鼻内镜鼻腔泪囊吻合术联合泪小管置管术的手术疗效。 　　方法：伴有泪小管阻塞的泪囊炎患者27例,给予经鼻内镜下泪囊鼻腔吻合术联合泪小管置管,泪小管阻塞采用泪道内窥镜下激光泪道探通术,环形置管。 　　结果：患者27例均顺利完成手术,均未见手术并发症。所有患者术后均定期随访6mo,治愈25例,有效2例,无效0例。治愈率为93%。 　　结论：鼻内镜下鼻腔泪囊吻合联合泪小管置管治疗泪囊炎合并泪小管阻塞具有视野清晰,创伤小,恢复快,远期疗效确切,避免分次手术等优点,值得广泛推广。
목적：탐토반유루소관조새적루낭염환자경비내경비강루낭문합술연합루소관치관술적수술료효。 　　방법：반유루소관조새적루낭염환자27례,급여경비내경하루낭비강문합술연합루소관치관,루소관조새채용루도내규경하격광루도탐통술,배형치관。 　　결과：환자27례균순리완성수술,균미견수술병발증。소유환자술후균정기수방6mo,치유25례,유효2례,무효0례。치유솔위93%。 　　결론：비내경하비강루낭문합연합루소관치관치료루낭염합병루소관조새구유시야청석,창상소,회복쾌,원기료효학절,피면분차수술등우점,치득엄범추엄。
AlM: To investigate the clinical efficacy of treatment of dacryocystitis combined with canalicular obstruction by endonasal endoscopic dacryocystorhinostomy with canalicular intubation. METHODS: A total of 27 cases of dacryocystitis combined with canalicular obstruction were treated by endonasal endoscopic dacryocystorhinostomy with canalicular intubation. Canalicular obstruction was treated by laser under dacryoendoscopy and antegrade intubation. RESULTS: For 27 cases, operations were successful, with no complications. All patients were followed up for 6mo, 25 were cured, 2 were effective with no failed. The cure rate was 93%. CONCLUSlON:Treatment of dacryocystitis combined with canalicular obstruction by endonasal endoscopic dacryocystorhinostomy with canalicular intubation has clear field, minimal invasion, quick recovery, exact effect and less recurrence, so it is worthy of promotion.