中国医学装备
中國醫學裝備
중국의학장비
CHINA MEDICAL EQUIPMENT
2014年
12期
124-126
,共3页
鼻黏膜瓣留置%泪囊鼻腔吻合术%内窥镜
鼻黏膜瓣留置%淚囊鼻腔吻閤術%內窺鏡
비점막판류치%루낭비강문합술%내규경
Mucosal flap preservation%Dacryocystorhinostomy%Endoscopy
目的：研究鼻黏膜瓣留置对内窥镜下泪囊鼻腔吻合术疗效的影响。方法：将接受内窥镜下泪囊鼻腔吻合术的慢性泪囊炎患者150例，随机分为观察组和对照组，分别采用术中给予鼻黏膜瓣留置和术中不给予鼻黏膜瓣留置的治疗方法；观察两组手术情况、心理应激以及生存质量。结果：①观察组患者手术成功率为96%，高于对照组，吻合口瘢痕组织形成5例，少于对照组；②观察组患者的汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)、焦虑自评量表(SAS)及抑郁自评量表(SDS)评分均低于对照组，自我实现、健康责任、运动、营养、人际关系以及应对压力评分均高于对照组。结论：鼻黏膜瓣留置有助于提高内窥镜下泪囊鼻腔吻合术的成功率，并且在远期随访中能够缓解患者心理应激、改善生存质量，具有积极的临床价值。
目的：研究鼻黏膜瓣留置對內窺鏡下淚囊鼻腔吻閤術療效的影響。方法：將接受內窺鏡下淚囊鼻腔吻閤術的慢性淚囊炎患者150例，隨機分為觀察組和對照組，分彆採用術中給予鼻黏膜瓣留置和術中不給予鼻黏膜瓣留置的治療方法；觀察兩組手術情況、心理應激以及生存質量。結果：①觀察組患者手術成功率為96%，高于對照組，吻閤口瘢痕組織形成5例，少于對照組；②觀察組患者的漢密爾頓焦慮量錶(HAMA)、漢密爾頓抑鬱量錶(HAMD)、焦慮自評量錶(SAS)及抑鬱自評量錶(SDS)評分均低于對照組，自我實現、健康責任、運動、營養、人際關繫以及應對壓力評分均高于對照組。結論：鼻黏膜瓣留置有助于提高內窺鏡下淚囊鼻腔吻閤術的成功率，併且在遠期隨訪中能夠緩解患者心理應激、改善生存質量，具有積極的臨床價值。
목적：연구비점막판류치대내규경하루낭비강문합술료효적영향。방법：장접수내규경하루낭비강문합술적만성루낭염환자150례，수궤분위관찰조화대조조，분별채용술중급여비점막판류치화술중불급여비점막판류치적치료방법；관찰량조수술정황、심리응격이급생존질량。결과：①관찰조환자수술성공솔위96%，고우대조조，문합구반흔조직형성5례，소우대조조；②관찰조환자적한밀이돈초필량표(HAMA)、한밀이돈억욱량표(HAMD)、초필자평량표(SAS)급억욱자평량표(SDS)평분균저우대조조，자아실현、건강책임、운동、영양、인제관계이급응대압력평분균고우대조조。결론：비점막판류치유조우제고내규경하루낭비강문합술적성공솔，병차재원기수방중능구완해환자심리응격、개선생존질량，구유적겁적림상개치。
Objective: To study the effects of nasal mucosal flap preservation on the curative effect of endoscopic dacryocystorhinostomy. Methods:Chronic dacryocystitis patients received endoscopic dacryocystorhinostomy in our hospital were enrolled and randomly divided into observation group given nasal mucosal flap preservation and control group not given nasal mucosal flap preservation. Then surgery condition, psychological stress and survival quality were observed. Results: (1)successful rate of observation group(96%) was higher than control group; (2)HAMA, HAMD, SAS, SDS score of observation group were lower than control group; self realization, health responsibility, movement, nutrition, interpersonal relationships, coping scores were higher than control group. Conclusion: Nasal mucosal flap preservation is helpful to improve the success rate of endoscopic dacryocystorhinostomy and can alleviate the psychological stress, improve the quality of life in long-term follow-up.
