CAJ | 학술논문

目的探讨内镜下经鼻泪囊鼻腔吻合联合泪道引流支架植入术治疗慢性泪囊炎临床疗效.方法回顾性病例研究.84例(86眼)慢性及复发性泪囊炎患者,行鼻内窥镜下经鼻泪囊鼻腔吻合联合泪道引流支架植入术.结果术后随访3～12个月,治愈70眼(81.40％),好转10眼(11.63％),无效6眼(6.98％),总有效率为93.02％(80/86).结论鼻内镜下泪囊鼻腔吻合联合泪道引流支架植入术应用于治疗慢性泪囊炎治愈率高,面部无瘢痕,术中放置合适的扩张管支撑可有效防止造孔口闭锁和扩张泪道作用,提高了手术成功率.
목적 탐토내경하경비루낭비강문합연합루도인류지가식입술치료만성루낭염림상료효.방법 회고성병례연구.84례(86안)만성급복발성루낭염환자,행비내규경하경비루낭비강문합연합루도인류지가식입술.결과 술후수방3～12개월,치유70안(81.40％),호전10안(11.63％),무효6안(6.98％),총유효솔위93.02％(80/86).결론 비내경하루낭비강문합연합루도인류지가식입술응용우치료만성루낭염치유솔고,면부무반흔,술중방치합괄적확장관지탱가유효방지조공구폐쇄화확장루도작용,제고료수술성공솔.
Objective To study the effects of endoscopic dacryocystorhinostomy on chronic dacryocystitis.Methods It was a retrospective study.Eighty-four cases (86 eyes) of chronic and recurrent dacryocystitis treated with endoscopic dacryocystorhinostomy with silicone stent intubation were studied retrospectively.Results After 3～12 months of follow-up,the following outcomes were noted:there were no clinical symptoms or signs in 70 eyes (81.40％),10 eyes (11.63％) had improved and the other 6 eyes (6.98％) were not satisfactory.A total of 80(93.02％) of 86 operations had good resuhs.Conclusion Endoscopic dacryocystorhinostomy with silicone stent intubation for the treatment of chronic dacryocystitishas without facial scars can be used as the preferred method for treatment of this disease.Inserting the stent correctly can prevent ostiole atretostomia and dilate the lacrimal passage,and will improve the success rate of endoscopic dacryocystorhinostomy.