Influence of different methods of silicone tube intubation on clinical effects and safety of patients with chronic dacryocystitis
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摘要: 目的 探讨常规和鼻内镜下鼻泪管逆行置管(STI)术对慢性泪囊炎疗效及安全性的影响。方法 将110例慢性泪囊炎患者以随机数字表法分为常规组(55例)和鼻内镜组(55例)，分别采用常规和鼻内镜下STI术治疗。比较2组溢泪症状改善率、治疗前后眼表症状评分、手术时间、术中VAS评分及术后并发症发生率。结果 2组溢泪症状改善率比较差异无统计学意义(P>0.05);2组治疗后眼表症状评分均显著少于治疗前(P < 0.05);2组治疗后眼表症状评分比较差异无统计学意义(P>0.05);鼻内镜组手术时间和术中VAS评分均显著少于常规组(P < 0.05);同时鼻内镜组术后并发症发生率显著低于常规组(P < 0.05)。结论 常规和鼻内镜下STI术治疗慢性泪囊炎的总体疗效接近，但鼻内镜下STI术更有助于降低操作难度、减轻术中疼痛及预防术后并发症出现。Abstract: Objective To investigate the influence of conventional STI and endoscopic STI on clinical effects and safety of patients with chronic dacryocystitis.Method One hundred and ten patients with chronic dacryocystitis were chosen in the period in our hospital and randomly divided into two groups including conventional group(55 patients) with conventional STI and endoscopy group(55 patients) with endoscopic STI. The improvement rate of epiphora symptoms, ocular surface symptoms score before and after treatment, operation time, intraoperative VAS score and postoperative complication rate of both groups were compared.Result There was no significant difference in the improvement rate of epiphora symptoms between two groups(P>0.05). The ocular surface symptoms score after treatment of endoscopy group were significantly less than conventional group(P < 0.05). There was no significant difference in the ocular surface symptoms score after treatment between two groups(P>0.05). The operation time and intraoperative VAS score of endoscopy group were significantly less than conventional group(P < 0.05). The postoperative complication rate of endoscopy group were significantly lower than conventional group(P < 0.05).Conclusion Conventional STI and endoscopic STI in the treatment of patients with chronic dacryocystitis possess the same clinical effects; but endoscopic STI application can efficiently reduce operation difficulty, relieve intraoperative pain and prevent postoperative complications.
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Key words:
- endoscopy /
- silicone tube intubation /
- chronic dacryocystitis
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