CAJ | 학술논문

目的：观察鼻内镜下三种不同方法治疗慢性泪囊炎所需的手术时间、出血量及效果。方法：98例慢性泪囊炎分为三组，A组28例（31眼）在鼻内镜下应用膨胀海绵行鼻腔泪囊吻合造口术（置管），B组33例（35眼）鼻内镜下应用银夹、膨胀海绵行鼻腔泪囊造口术（不置管），C组37例（40眼）在鼻内镜下联合应用眼光导纤维、电刀、丝裂霉素C（mitomycin C，MMC）、耳脑胶及明胶海绵行鼻腔泪囊造口术（不置管），三组所需的手术时间、出血量及疗效进行对比分析。结果：平均手术时间、平均出血量及有效率（6个月、12个月）分别是A组、B组、C组。结论：鼻内镜下联合应用内光导纤维引导，电刀、丝裂霉素c和耳脑胶及明胶海绵行鼻腔泪囊造口术，能减少手术时间，出血少，疗效好、复发率低，是一种操作简单、安全可靠、经济、快速、实用、疗效好的方法。
목적：관찰비내경하삼충불동방법치료만성루낭염소수적수술시간、출혈량급효과。방법：98례만성루낭염분위삼조，A조28례（31안）재비내경하응용팽창해면행비강루낭문합조구술（치관），B조33례（35안）비내경하응용은협、팽창해면행비강루낭조구술（불치관），C조37례（40안）재비내경하연합응용안광도섬유、전도、사렬매소C（mitomycin C，MMC）、이뇌효급명효해면행비강루낭조구술（불치관），삼조소수적수술시간、출혈량급료효진행대비분석。결과：평균수술시간、평균출혈량급유효솔（6개월、12개월）분별시A조、B조、C조。결론：비내경하연합응용내광도섬유인도，전도、사렬매소c화이뇌효급명효해면행비강루낭조구술，능감소수술시간，출혈소，료효호、복발솔저，시일충조작간단、안전가고、경제、쾌속、실용、료효호적방법。
Objective:Observation three different methods to treat chronic dacryocystitis operative time, the amount of blood loss and effect under nasal endoscopy. Methods:98 cases of chronic dacryocystitis patients divided into three groups, A group of 28 patients(31 eyes) been done dacryocystorhinostomies ,anastomosis from nasal to lacrimal sac application expansion sponge under nasal endoscopy (placed expansion pipe). Group B in 33 patients(35 eyes) been done dacryocystorhinostomies application silver clip,expansion sponge under the nasal endoscopy(not placed expansion pipe). Group C 37 cases(40 eyes) been done dacryocystorhinostomies from combined application the Optical fiber of the eye, the electric knife, mitomycin C, crack glue of ear brain and gelatin sponge under the nasal endoscopy (not placed expansion pipe) Three groups of required operative time, blood loss and curative effect are compared and analyzed. Results:Average operation time, average blood loss and efficient(6 months, 12 months) respectively is:A group;Group B;Group C. Conclusion: done dacryocystorhinostomies from combined application the Optical fiber of the eye, the electric knife, mitomycin C, crack glue of ear brain and gelatin sponge under the nasal endoscopy ,Can reduce the time of the operation, less bleeding, has good curative e ffect, the recurrence rate is low. Is a kind of simple operation, safe and reliable, economic, quick, practical, curative effect good method.