改良鼻腔泪囊吻合术治疗慢性泪囊炎临床价值.docVIP

改良鼻腔泪囊吻合术治疗慢性泪囊炎临床价值 　　[摘要] 目的 探讨改良鼻腔泪囊吻合术治疗慢性泪囊炎的临床应用价值。 方法 选择本院2010年1月～2012年12月收治的慢性泪囊炎患者54例，按不同治疗方式分为对照组（行传统泪囊吻合术）和实验组（行改良鼻腔泪囊吻合术）各27例，对两组患者的治疗效果进行综合比较。 结果 实验组的有效率为96.3%，明显高于对照组的77.8%（P0.05）；实验组手术时间为（41.20±5.32） min，对照组为（76.92±5.21） min，对照组术后复发率为18.5%（5/27），实验组无一例复发，两组手术时间和复发率比较，差异有统计学意义（P0.05）。 结论 改良鼻腔泪囊吻合术治疗慢性泪囊炎效果显著，疗效明显优于传统的泪囊吻合术，值得临床推广应用。 　　[关键词] 改良鼻腔泪囊吻合术；慢性泪囊炎；临床疗效 　　[中图分类号] R777.2+3 [文献标识码] A [文章编号] 1674-4721（2013）11（b）-0028-02 　　Clinical value of modified dacryocystorhinostomy in treatment of chronic dacryocystitis 　　FAN Mei-rong 　　Department of Ophthalmology，the Shixin Hospital of Zhangmutou Town，Dongguan City in Guangdong Province，Dongguan 523631，China 　　[Abstract] Objective To investigate the clinical application value of modified dacryocystorhinostomy in treatment of chronic dacryocystitis.Methods 54 cases of patients with chronic dacryocystitis in our hospital from January 2010 to December 2012 were divided into control group （traditional dacryocystorhinostomy） and experimental group （modified dacryocystorhinostomy），the efficacy of two groups was compared.Results The effective rate of experimental group was 96.3%，which was higher than 77.8% of control group （P0.05）；the operative time of experimental group was （41.20±5.32） min，while the control group was （76.92±5.21） min，the relapse rate of control group was 18.5% （5/27），while there was no relapse in experimental group，there was significant difference about operative time，relapse rate between two groups （P0.05）.Conclusion Modified dacryocystorhinostomy has significant effect on treating chronic dacryocystitis，and it is better than the traditional dacryocystorhinostomy，which is worthy of clinical application. 　　[Key words] Modified dacryocystorhinostomy；Chronic dacryocystitis；Clinical efficacy 　　慢性泪囊炎是眼科常见的由感染引起的眼病，通常由于患者鼻泪管阻塞或狭窄使泪液滞留在泪囊之中，再伴发细菌感染所导致[1]。主要表现为溢泪、溢脓等症状，给患者日常生活带来诸多不便和痛苦[2]。治疗本病的目的在于解除患者溢泪、溢脓症状，鼻腔泪囊吻合术是在泪囊和鼻腔之间建立可用来代替被阻塞鼻泪管的新通路，从而解除患者泪囊积脓及溢泪症状[3]，然而传统的鼻腔泪囊吻合术的部位深且手术操作难度大、手术时间长等缺