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慢性泪囊炎是在鼻泪管下端阻塞、泪囊内有分泌物滞留的基础上发生,是眼部感染病灶。患者因长期溢泪、流脓而影响正常生活工作,又是内眼手术的禁忌证。泪囊鼻腔吻合术是目前治疗慢性泪囊炎有效的方法之一,但经典的泪囊鼻腔吻合术因需切断内眦韧带,吻合泪囊前后唇,吻合口放置支架,存在手术时间长,手术部位深,操作困难,术后易出现吻合口狭窄等问题。我们采用改良泪囊鼻腔吻合术治疗慢性泪囊炎30例,手术效果较好,现报道如下。
Chronic dacryocystitis is occluded at the lower end of the nasolacrimal duct, with secretions on the basis of lacrimal sac occlusion, which is an eye infection. Patients due to long-term overflow tears, pus and affect the normal life work, but also contraindications for intraocular surgery. Dacryocystorhinostomy is one of the effective methods for the treatment of chronic dacryocystitis. However, the classic dacryocystorhinostomy need to be cut off the ligament of anterior cruciate ligament, anastomosis lacrimal sac anastomosis before placing the stent, there is a long operation, surgery Depth of the site, difficult to operate, prone to anastomotic stenosis and other issues. We use modified dacryocystorhinostomy for chronic dacryocystitis in 30 cases, the effect is better, are reported below.