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鼻泪管钻切联合硅胶管置管术是近年兴起的治疗慢性泪囊炎的手术方法。此术最大优点是修复阻塞的鼻泪管的生理通道。自1992年1月—1993年1月,我们采用经后鼻孔一口一鼻腔引硅胶管的方法,成功地治疗了慢性泪囊炎和泪道阻塞患者共9例(11眼),报告如下。9例(11眼)患者中男性5例,女性4例,年龄最大73岁,最小23岁,平均43岁。农民5例,工人3例,服务员1例。右眼6例,左眼5例。患者溢泪时间最短1个月,最长10年,平均42个月。其中慢性泪囊炎8例。泪道阻塞1例;合并鼻中隔弯曲5例,慢性鼻炎下鼻甲肥大3例,外伤性下鼻道前端闭锁1例。随访最短1个月,最长1年,平均6.67月。手术方法:麻醉方法采用筛前神经、眶下神经及
Nasolacrimal duct drilling combined with silicone tube catheterization is the rise of the treatment of chronic dacryocystitis in recent years surgical methods. The biggest advantage of this technique is to repair the blocked physiological passage of the nasolacrimal duct. From January 1992 to January 1993, we successfully treated nine patients (11 eyes) with chronic dacryocystitis and lacrimal duct obstruction using a transnasal nostril-guided nasal approach. The report is as follows. Among 9 patients (11 eyes), 5 were male and 4 were female, the oldest being 73 years old and the youngest being 23 years old, with an average of 43 years old. 5 farmers, 3 workers, 1 waiter. Right eye in 6 cases, left eye in 5 cases. Patients with the shortest duration of 1 month of tears, up to 10 years, an average of 42 months. Including 8 cases of chronic dacryocystitis. Lacrimal duct obstruction in 1 case; merger of nasal septum in 5 cases, chronic rhinitis under the turbinate hypertrophy in 3 cases, traumatic lower nasal anterior atresia in 1 case. The shortest follow-up 1 month, a maximum of 1 year, an average of 6. 67 months. Surgical methods: anesthesia using the anterior ethmoidal nerve, infraorbital nerve and