摘要
目的探讨鼻内镜下泪囊鼻腔造口术造瘘口处理方式的改进,分析影响手术疗效的因素及造瘘口形成的机理。方法选2000年8月～2003年9月收治的40例(45眼)慢性泪囊炎并/或鼻泪管堵塞患者。均行鼻内镜下泪囊鼻腔造口术,造瘘口采用EC耳脑胶粘合固定成形。结果40例(45眼)中,完全无溢泪44眼,成功率97.7%。结论改进后—EC耳脑胶吻合造瘘口的方法具有不损伤内眦韧带及泪泵机制,同时具有操作简单、患者痛苦小、成功率高、颜面部无瘢痕等优点。
Objective To explore the improvement of the method of an anastamosis’ management and to analysis the factors of affecting the curative effect and its mechanism in an anastamosis’ formation. Methods Forty patients (45 eyes)with chronic dacryocystitis and/or nasolacrimal duct obstruction were treated by intranasal endoscopic dacryocystorhinostomy from August 2000 to September 2003. All eyes were operatived by dacryocystorhinostomy and all anastamoses were formed firmly with EC biosynthesis ear-brain glue . Results Fourty four eyes were cured , the success rate is 97.7% . Conclusion Advantages of an improved anastamosis approach such as saving the medical palpebral ligament , the lacrimal pump mechanism , operating simple, small misery and high success rate . The procedure of endoscopic dacryocystorhinostomy is a benifical feasible approach for treatment of chronic dacryocystitis and nasolacrimal duct obstruction .
出处
《江西医药》
CAS
2004年第5期318-320,共3页
Jiangxi Medical Journal
