目的 将改良鼻内镜下鼻腔泪囊吻合术与改良鼻外径路鼻腔泪囊吻合术临床效果进行对比研究。 方法 选择2013年1月~2017年12月本院诊治的84例（89眼）慢性泪囊炎患者作为研究对象，分为观察组44例（47眼），采用改良鼻内镜下鼻腔泪囊吻合术；对照组40例（42眼），采用改良鼻外径路鼻腔泪囊吻合术，住院治疗并随访12个月，比较治愈率、有效率、手术时间及并发症发生率。 结果 观察组治愈率91.5%、有效率97.9%、平均手术时间40 min、并发症发生率2.1%，对照组治愈率81%、有效率90.5%、平均手术时间60 min、并发症发生率9.5%。两组疗效比较差异有统计学意义（P<0.05）。 结论 改良鼻内镜下鼻腔泪囊吻合术治疗慢性泪囊炎具有临床疗效好、手术时间短、并发症少且易再处理、病人满意度高等优点，值得优先推荐。
Abstract
Objective To compare the clinical effects between modified nasal endoscopic dacryocystorhinostomy and modified external nasal dacryocystorhinostomy. Methods Eighty-four patients with chronic dacryocystitis in our hospital from January 2013 to December 2017 were randomly divided into two groups: an observation group (n=44, treated with modified nasal endoscopic dacryocystorhinostomy) and a control group (n=40, treated with modified external nasal dacryocystorhinostomy). The patients were followed up for 12 months to observe the cure rate, effective rate, operation time and the incidence of complications. Results In the observation group, the cure rate was 91.5%, the effective rate was 97.7%, the average operation time was 40 minutes, and the incidence of complications was 2.3%. In the control group, the cure rate was 81%, the effective rate was 90.5%, the average operation time was 60 minutes, and the incidence of complications was 9.5%. There was significant difference in curative effect between the two groups (P<0.05). Conclusions Modified nasal endoscopic dacryocystorhinostomy in the treatment of chronic dacryocystitis has the advantages of high clinical effect, short operation time, few complications and high patient satisfaction, which is worth to be promoted.
关键词
慢性泪囊炎 /
鼻内镜 /
改良鼻腔泪囊吻合术 /
临床效果
Key words
Chronic dacryocystitis; Nasal endoscope; Modified nasal dacryocystorhinostomy /
Clinical effect
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基金
淄博市重点研发计划公益类专项（2019 gy 010003）
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