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目的评价经鼻腔逆行置管术治疗慢性泪囊炎的临床效果,联合细菌培养,指导术后用药。方法回顾分析接受硅胶管经鼻治逆行置管术治疗的慢性泪囊炎83例(98只眼)的临床资料。接受手术年龄为20～90岁,平均年龄为61.16岁;手术以不流泪流脓为成功,流泪减少为好转。结果 83例(98只眼)患者中,术后成功者82只眼,占83.67%;好转者16只眼,占16.32%;细菌培养:所有细菌中以秉性厌氧菌为最多,占首位,其次是厌氧菌,专属厌氧菌占第3位。结论治疗慢性泪囊炎患者可以采用硅胶管经鼻腔逆行植入术,疗效好,手术时间短,痛苦小,面部不留疤痕,患者接受度好,值得推广。按药物敏感试验用药,取得满意治疗效果。
Objective To evaluate the clinical effect of nasal retrograde catheterization in the treatment of chronic dacryocystitis and to combine bacterial culture to guide the postoperative medication. Methods The clinical data of 83 cases (98 eyes) of chronic dacryocystitis undergoing silicone tube retrograde nasal tube placement were retrospectively analyzed. The age of the patients who underwent surgery was 20 to 90 years old, with an average age of 61.16 years old. The surgery was successful in not shedding tears and reducing the shedding of tears. Results Of the 83 patients (98 eyes), 82 eyes were successful, 83.67% of them were successful, 16 eyes were improved, accounting for 16.32%. Bacterial culture: Among all the bacteria, anaerobic bacteria were the most, Followed by anaerobic bacteria, anaerobic bacteria account for the first three. Conclusion The treatment of chronic dacryocystitis patients with silicone tube retrograde nasal transplants, good curative effect, short operative time, little pain, face without leaving scars, patients with good acceptance, it is worth promoting. By drug-sensitive test medication, to obtain satisfactory treatment.