鼻内镜下鼻腔泪囊吻合术联合泪道引流管植入治疗泪道阻塞的疗效

孙士平, 宋道亮, 刘文, 等. 鼻内镜下鼻腔泪囊吻合术联合泪道引流管植入治疗泪道阻塞的疗效[J]. 临床耳鼻咽喉头颈外科杂志, 2022, 36(11): 845-848. doi: 10.13201/j.issn.2096-7993.2022.11.007
引用本文: 孙士平, 宋道亮, 刘文, 等. 鼻内镜下鼻腔泪囊吻合术联合泪道引流管植入治疗泪道阻塞的疗效[J]. 临床耳鼻咽喉头颈外科杂志, 2022, 36(11): 845-848. doi: 10.13201/j.issn.2096-7993.2022.11.007
SUN Shiping, SONG Daoliang, LIU Wen, et al. Effect of endonasal endoscopic dacryocystorhinostomy combined with lacrimal duct drainage tube implantation in treating lacrimal duct obstruction[J]. J Clin Otorhinolaryngol Head Neck Surg, 2022, 36(11): 845-848. doi: 10.13201/j.issn.2096-7993.2022.11.007
Citation: SUN Shiping, SONG Daoliang, LIU Wen, et al. Effect of endonasal endoscopic dacryocystorhinostomy combined with lacrimal duct drainage tube implantation in treating lacrimal duct obstruction[J]. J Clin Otorhinolaryngol Head Neck Surg, 2022, 36(11): 845-848. doi: 10.13201/j.issn.2096-7993.2022.11.007

鼻内镜下鼻腔泪囊吻合术联合泪道引流管植入治疗泪道阻塞的疗效

详细信息

Effect of endonasal endoscopic dacryocystorhinostomy combined with lacrimal duct drainage tube implantation in treating lacrimal duct obstruction

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  • 目的探讨鼻内镜下鼻腔泪囊吻合术(EES-DCR)同期植入泪道引流管治疗泪道阻塞的疗效。方法选择泪道阻塞行EES-DCR的患者32例(37眼),包括功能性鼻泪管阻塞1例(2眼),EES-DCR术后复发2例(2眼),鼻泪管阻塞17例(19眼),小泪囊6例(8眼),泪小管及泪总管阻塞6例(6眼)。术中行EES-DCR,并自上、下泪小点植入泪道引流管,3例合并鼻中隔偏曲患者同期行鼻中隔成形术,1例合并慢性鼻窦炎患者同期行内镜鼻窦手术。术后鼻喷激素喷鼻治疗,随访时根据患者症状改善程度、泪道冲洗是否通畅及鼻内镜下泪囊鼻腔吻合口的开放状态对手术效果进行评估。结果术后随访3~30个月,治愈29例(34眼),好转2例(2眼),无效1例(1眼),总有效率为97.3%(36/37)。所有患者均未出现眶内、颅内及鼻内并发症。结论EES-DCR联合泪道引流管植入治疗泪道阻塞性疾病安全有效。植入泪道引流管可有效避免造口堵塞,防止泪小管、泪总管黏连,手术成功率明显提高。
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  • 图 1  泪道引流管植入过程及术后复查时泪道引流管及吻合口情况

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出版历程
收稿日期:  2022-08-07
刊出日期:  2022-11-03

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