CAJ | 학술논문

目的：探讨改良鼻内镜下泪囊鼻腔造口术治疗慢性泪囊炎的临床疗效。方法对鼻泪管堵塞、慢性泪囊炎的患者18例20眼行改良鼻内镜下泪囊造口手术，分析其临床疗效。结果18例20眼中治愈18眼，治愈率达90％，总有效率90％。无效2眼，为术后1～2个月泪囊造口瘢痕形成导致无效，再给予泪道置管，3个月后取出，溢泪好转，冲洗泪道通畅。全部病例均无严重并发症发生。结论改良鼻内镜下泪囊鼻腔造口术治疗慢性泪囊炎效果良好，创伤小，恢复快。
목적：탐토개량비내경하루낭비강조구술치료만성루낭염적림상료효。방법대비루관도새、만성루낭염적환자18례20안행개량비내경하루낭조구수술，분석기림상료효。결과18례20안중치유18안，치유솔체90％，총유효솔90％。무효2안，위술후1～2개월루낭조구반흔형성도치무효，재급여루도치관，3개월후취출，일루호전，충세루도통창。전부병례균무엄중병발증발생。결론개량비내경하루낭비강조구술치료만성루낭염효과량호，창상소，회복쾌。
Objective To discuss the efficacy of endoscopic transnasal dacryocystorhinostomy treatment and the approach of lacrimal ostomy.Methods 18 cases (20 eyes)of nasolacrimal duct blockage,chronic dacryocystitis patients were chosen for endoscopic transnasal dacryocystorhinostomy.Intraoperatively,lac-rimal sac mucosal flap was naturally attached in a fixed manner.In one of the case,lacrimal sac was too small so lacrimal drainage catheter was kept for three months.Results Three to eighteen months′follow-up showed 18 cases (18 eyes)were cured with success rate of 90%,2 cases (2 eyes)were relapsed but were improved after using lacrimal drainage catheter.Serious complications didn't occur to any case.Con-clusion Endoscopic transnasal dacryocystorhinostomy treatment is effective with minor trauma and quicker recovery.Dacryocystorhinostomy in lacrimal ostomy completely release valve,natural attachement in a fixed manner treatment is beneficial to the formation of stoma.