临床眼科杂志
臨床眼科雜誌
림상안과잡지
JOURNAL OF CLINICAL OPHTHALMOLOGY
2015年
2期
177-179
,共3页
鼻内窥镜%慢性泪囊炎%Merogel
鼻內窺鏡%慢性淚囊炎%Merogel
비내규경%만성루낭염%Merogel
Entranasal endoscopic dacryocystorhinostomy%Chronic dacryocystitis%Merogel
目的：探讨Merogel在鼻内窥镜泪囊鼻腔吻合术中的临床应用效果。方法2014年3月至2014年10月我院收治90例（107只眼）慢性泪囊炎患者。对其施行鼻内窥镜下泪囊鼻腔吻合术，术中泪囊黏膜与鼻腔黏膜吻合口处贴敷由美国Xomed公司生产的Merogel（主要成分为透明质酸）。其中12例（12只眼）因合并泪小管、泪总管阻塞或狭窄，于术中同时置入泪道引流管（山东博士伦福瑞达公司生产制造）。其中1例术中探查见术眼上泪小管阻塞，无法探通，故未置管。所有患者的泪道引流管均于3个月后拔出。结果术后随访3个月以上，泪囊黏膜与鼻腔黏膜吻合口外形均良好，3～4周完全上皮化，无息肉生长，患者主诉无明显溢泪等不适症状，全部治愈。结论在鼻内窥镜下泪囊鼻腔吻合术中，泪囊黏膜与鼻腔黏膜吻合口处贴敷Merogel，可减少吻合口处息肉再生、肉芽组织增生，促进吻合口黏膜上皮化，降低吻合口再次闭塞的发生率，可以显著提高手术成功率。
目的：探討Merogel在鼻內窺鏡淚囊鼻腔吻閤術中的臨床應用效果。方法2014年3月至2014年10月我院收治90例（107隻眼）慢性淚囊炎患者。對其施行鼻內窺鏡下淚囊鼻腔吻閤術，術中淚囊黏膜與鼻腔黏膜吻閤口處貼敷由美國Xomed公司生產的Merogel（主要成分為透明質痠）。其中12例（12隻眼）因閤併淚小管、淚總管阻塞或狹窄，于術中同時置入淚道引流管（山東博士倫福瑞達公司生產製造）。其中1例術中探查見術眼上淚小管阻塞，無法探通，故未置管。所有患者的淚道引流管均于3箇月後拔齣。結果術後隨訪3箇月以上，淚囊黏膜與鼻腔黏膜吻閤口外形均良好，3～4週完全上皮化，無息肉生長，患者主訴無明顯溢淚等不適癥狀，全部治愈。結論在鼻內窺鏡下淚囊鼻腔吻閤術中，淚囊黏膜與鼻腔黏膜吻閤口處貼敷Merogel，可減少吻閤口處息肉再生、肉芽組織增生，促進吻閤口黏膜上皮化，降低吻閤口再次閉塞的髮生率，可以顯著提高手術成功率。
목적：탐토Merogel재비내규경루낭비강문합술중적림상응용효과。방법2014년3월지2014년10월아원수치90례（107지안）만성루낭염환자。대기시행비내규경하루낭비강문합술，술중루낭점막여비강점막문합구처첩부유미국Xomed공사생산적Merogel（주요성분위투명질산）。기중12례（12지안）인합병루소관、루총관조새혹협착，우술중동시치입루도인류관（산동박사륜복서체공사생산제조）。기중1례술중탐사견술안상루소관조새，무법탐통，고미치관。소유환자적루도인류관균우3개월후발출。결과술후수방3개월이상，루낭점막여비강점막문합구외형균량호，3～4주완전상피화，무식육생장，환자주소무명현일루등불괄증상，전부치유。결론재비내규경하루낭비강문합술중，루낭점막여비강점막문합구처첩부Merogel，가감소문합구처식육재생、육아조직증생，촉진문합구점막상피화，강저문합구재차폐새적발생솔，가이현저제고수술성공솔。
Objective To explore the clinical application effect of Merogel during entranasal endoscopic dacryo-cystorhinostomy.Methods From March 2014 to October 2014 during the hospital treated 90 cases of patients (107 eyes) with chronic dacryocystitis as the object of study.All patients received entranasal endoscopic dacryocystorhinostomy( EES-DCR) ,during which the lacrimal sac and nasal mugosa anastomosis Was sticked and adhered by the US Xomed company's Merogel(the main ingredients for hyaluronic acid).12 patients (12 eyes) due to combining with lacrimal duct, lacrimal duct obstruction or stenosis, in surgery at the same time were placed lacrimal drainage tube ( Shandong Boshilun Furuida manufacturing of the company).one patient,s eye surgery was seen the lacrimal duct obstruction in surgery,and can not be probing, so the lacrimal drainage tube was not be placed.All the artificial lacrimal silicone tubes are pulled after three months.Results All patients were followed up more than 3 months , the shape of the lacrimal sac mucosa and nasal muco-sa anastomosis were good.After surgery 3~4 weeks ,the mucosa were complete epithelialization , no polyps.the patient complained of epiphora no other symptoms, all cured.Conclusions Endoscopic dacryocystorhinostomy, the lacrimal sac mucosa and nasal mucosa anastomosis were sticking Merogel,can reduce the anastomosis regeneration of polyps, granulation tissue, promote anastomotic mucosa, reduce the incidence of occlusion of anastomotic again, significantly improve the suc-cess rate of surgery.
