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两种手术方法治疗急性泪囊炎的疗效观察

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目的:比较单瓣吻合法鼻腔泪囊吻合术和鼻内镜下鼻腔泪囊吻合术治疗急性泪囊炎的临床疗效。方法随机将64例急性泪囊炎患者分配为单瓣组32例和鼻内镜组32例,分别采用上述两种手术方法治疗,术后随访6-12个月观察手术疗效。结果单瓣组31例治愈20例,好转5例,无效6例,有效率为80.65%;鼻内镜组32例治愈29眼,好转2例,无效1例,有效率为96.88%。两组之间有效率差异具有统计学意义(P <0.05)。结论鼻内镜下鼻腔泪囊吻合术是治疗急性泪囊炎的有效方法具有创伤小,面部无疤痕,有效率高的特点,值得临床推广应用。
to compare the single anastomosis method of anastomosis of lacrimal sac and nasal endoscopic nasal cavity anastomosis of lacrimal sac treatment the clinical curative effect of acute dacryocystitis.Methods: randomly assigned 64 patients with acute dacryocystitis for single group of 32 cases of nasal endoscopy and group of 32 cases, respectively, using the above two methods of surgical treatment, postoperative fol ow-up of 6 to 12 months to observe the operation effect.Results: single group of 31 cases treated 20 cases, improved in 5 cases, 6 no effect, the effective rate was 80.65%; Nasal endoscopy group of 32 cases were cured, 29 eyes, improved in 2 cases, 1 had no effect, the effective rate was 96.88%. Efficient difference between the two groups have statistical significance (P < 0.05).Conclusion: nasal endoscopic nasal lacrimal sac anastomosis is an effective method for treatment of acute dacryocystitis, smal trauma, facial scar, the characteristics of high efficient, worthy of clinical popularization and application.

刘伟、刘岚、肖典胜

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南省怀化医学高等专科学校附属怀化市第三人民医院眼科 418000

急性泪囊炎 鼻腔泪囊吻合术 单瓣吻合法 鼻内镜

2014

中外健康文摘
中国中医药报社

中外健康文摘

影响因子:0.016
ISSN:1672-5085
年,卷(期):2014.(14)
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