about pore dacryocystorhinostomy surgery improved efficacy（关于孔隙dacryocystorhinostomy手术疗效）.docVIP

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2017-09-05 发布于浙江
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about pore dacryocystorhinostomy surgery improved efficacy（关于孔隙dacryocystorhinostomy手术疗效）.doc

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about pore dacryocystorhinostomy surgery improved efficacy（关于孔隙dacryocystorhinostomy手术疗效）

About pore dacryocystorhinostomy surgery improved efficacy One of the most common illnesses of chronic dacryocystitis eye, the main symptoms of epiphora pus, severe cases can cause corneal ulcers, endophthalmitis caused the blindness. The traditional surgical method for the percutaneous line dacryocystorhinostomy, but often lead to permanent scarring nasion Department since the beginning of 2000, our cooperation with the ENT, the use of endoscopic dacryocystorhinostomy pore down with intraoperative mitomycin C application made orifice, the treatment of chronic lacrimal inflammation 30 cases of 32, the follow-up observation with satisfactory results. are as follows: Clinical data 1.1 General Information The group of 30 cases in 12 males and 18 female patients, both eyes in 2 patients, aged 13-70 years, mean age 42 years, history of 2-22 years, mean 12 years, including two cases of traumatic injury in car accident nasolacrimal duct and lacrimal sac, combined with turbinate hypertrophy, nasal polyps, nasal septum deviation in 2 cases, 2 cases of physical scars, 2 cases of percutaneous line lacrimal sac, nasal anastomosis failure. 1.2 uses surgical instruments manufactured in Shenyang endoscopic Shen big, with camera in Japan Sony brand display system, screen forceps, gouge, tear duct probes, sickle-shaped knife. 1.3 Procedures 1.3.1 patient supine on the surgical bed, 1% tetracaine + 3% ephedrine solution nasal cotton table linen sheet contraction, 2% lidocaine 10ml + few drops of 1 ?adrenaline liquid line near the uncinate nasal anesthesia . 1.3.2 in the nasal endoscope under direct vision, with a sickle knife nasal turbinate roots in the leading edge of the uncinate process of the nasal mucosa after the industry for curved incision until the bone, stripping the child with separation, in addition to part of the nose bite mucous membrane and periosteum, the outer wall of the nasal cavity revealed frontal process of maxilla and lacrimal b