耳内镜鼻腔泪囊吻合术治疗先天性泪囊黏液囊肿的临床疗效观察.docVIP

耳内镜鼻腔泪囊吻合术治疗先天性泪囊黏液囊肿的临床疗效观察 　　[摘要]目的 探讨耳内镜鼻腔泪囊吻合术治疗先天性泪囊黏液囊肿的临床效果。方法 选取我院2014年2月～2015年7月收治的先天性泪囊黏液囊肿患者69例进行统计分析，根据治疗方式分为对照组34例和观察组35例，对照组患者予以传统眼科手术治疗，观察组患者予以耳内镜鼻腔泪囊吻合术治疗，观察并比较两组患者的治疗效果。结果 对照组患者总有效率为73.5%，观察组患者为100.0%，观察组总有效率明显高于对照组（P0.01）；随访半年后，观察组造瘘口缩小，泪道通畅，没有出现肉芽增长、瘢痕缩小现象；对照组治疗满意度为61.8%，观察组为94.3%，观察组治疗满意度明显高于对照组（P0.01）。结论 耳内镜鼻腔泪囊吻合术治疗先天性泪囊黏液囊肿的临床效果突出，值得推广 　　[关键词]耳内镜；鼻腔泪囊吻合术；先天性泪囊黏液囊肿 　　[中图分类号] R777.2+3 [文献标识码] A [文章编号] 1674-4721（2016）10（c）-0100-03 　　[Abstract]Objective To investigate the clinical effect of endoscopic nasal cavity lacrimal sac anastomosis in the treatment of congenital lacrimal sac mucous cyst.Methods 69 cases with congenital lacrimal sac mucus cyst treated by our hospital from February 2014 to July 2015 were selected and given statistical analysis.According to the treatment methods，they were divided into the control group （34 cases） and the observation group （35 cases）.Patients in the control group were treated with conventional ophthalmic surgery，while patients in the observation group were given endoscopic nasal cavity lacrimal sac anastomosis.Treatment effect between two groups was observed and compared.Results The total effective rate of control group was 73.5%，while it was 100.0% in the observation group，the total effective rate of the observation group was significantly higher than that of the control group （P0.01）.After patients were followed-up for 6 months，there was narrowing stoma，unobstructed lacrimal duct，and there was no granulation growth，scar reducing.Treatment satisfaction in the control group was 61.8%，the observation group was 94.3%，and the satisfaction of the observation group was significantly higher than that of the control group （P0.01）.Conclusion The clinical effect of endoscopic nasal cavity lacrimal sac anastomosis in the treatment of congenital lacrimal sac mucus cyst is prominent， and it is worth popularizing. 　　[Key words] Ear endoscope；Anastomosis of lacrimal sac and nasal cavity；Congenital lacrimal sac mucou