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将80例(87只眼)慢性泪囊炎患者随机分为两组,40例(43只眼)接受泪囊鼻腔吻合术,40例(44只眼)接受内窥镜下经鼻泪囊鼻腔造孔术,术后随访了73例(78只眼),随访时间3～8个月,平均6个月。结果显示:内窥镜下经鼻泪囊鼻腔造孔术组(41只眼)治愈率90.2%,泪囊鼻腔吻合术组(37只眼)67.6%(P<0.05)。内窥镜下经鼻泪囊鼻腔造孔术具有疗效好、损伤小、适应证宽、并发症少、方法简便快捷及无面部瘢痕等优点,并可同期处理鼻腔鼻窦伴随病变。无论内窥镜下经鼻泪囊鼻腔造孔术还是泪囊鼻腔吻合术,均应强调术后随访,在内窥镜下清理鼻腔是保持造孔开放、提高手术成功率的重要措施。
Eighty patients (87 eyes) with chronic dacryocystitis were randomly divided into two groups, 40 (43 eyes) received dacryocystorhinostomy, and 40 (44 eyes) received endoscopic nasolacrimal and nasal cavity 73 cases (78 eyes) were followed up for 3 to 8 months with an average of 6 months. The results showed that the cure rate of endoscopic nasal dacryocystorhinostomy group (41 eyes) was 90.2%, and that of dacryocystorhinostomy group (37 eyes) was 67.6% (P <0.05). Endoscopic nasal dacryocystorhinostomy with good curative effect, small injury, wide indications, fewer complications, simple and quick method and no facial scar, etc., and can be accompanied by the treatment of nasal sinus associated lesions. Whether endoscopic nasal dacryocystorhinostomy or dacryocystorhinostomy should emphasize postoperative follow-up, to clear the nasal cavity under endoscopy is to keep the hole open and improve the success rate of surgery is an important measure.