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目的探讨鼻内镜下鼻腔泪囊造孔术治疗慢性泪囊炎的疗效。方法回顾分析60例患者的临床资料。结果本组60例(60眼),随访6个月~2年,治愈50眼,好转8眼,无效2眼,治愈率89%,总有效率97%,2眼无效为术后造孔处肉芽增生,瘢痕收缩致造孔闭锁。结论鼻内镜下泪囊鼻腔吻合术治疗慢性泪囊炎手术时间短、组织损伤小、出血少、视野清,具有在鼻内镜下及时清理鼻腔肉芽和同期处理鼻腔病变等诸多优点,同时住院时间短,费用少,无面部疤痕,满足了患者的各种需求。恰当掌握手术适应证、操作仔细、术后按期随访处理,才能获得满意的效果。
Objective To investigate the efficacy of nasal endoscopic dacryocystorhinostomy for chronic dacryocystitis. Methods The clinical data of 60 patients were retrospectively analyzed. Results The group of 60 cases (60 eyes) were followed up for 6 months to 2 years, 50 eyes were cured, 8 eyes were improved, 2 eyes were ineffective, the cure rate was 89% and the total effective rate was 97%. Granulation hyperplasia, scar contraction caused by hole atresia. Conclusion Endoscopic nasal dacryocystorhinostomy for chronic dacryocystitis has the advantages of short operation time, less tissue damage, less bleeding, clear vision, timely nasal granuloma under nasal endoscopy and concurrent treatment of nasal lesions, and so on. At the same time, hospitalization Short time, low cost, no facial scars, to meet the various needs of patients. Proper surgical indications, careful operation, follow-up after treatment, in order to obtain satisfactory results.