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鼻泪管阻塞是五官科常见疾病,以往主要采取泪囊鼻腔吻合术治疗。我院自1995年以来,在泪道探通穿线的基础上,采取拉线术的方法治疗该病33例,取得了较好的近期效果,报告如下。 1 临床资料 1.1 手术对象 选择长期泪溢证实为鼻泪管阻塞患者,泪道冲洗无脓或仅少许粘液分泌物,无鼻腔疾病。男3例,女30例,年龄20～56岁。右侧15例,左侧18例。其中2例曾行泪囊鼻腔吻合术后无效。 1.2 手术方法 术前3d使用抗菌素眼药水点眼并每日冲洗泪道1次。泪小点及鼻粘膜表面麻醉,泪小管周围浸润麻醉,泪点扩张器扩大泪小点,用自制7号钝头穿刺针自下泪小点行泪道探通,拔出针芯,将线带入鼻腔,自鼻腔逆行引出1根7号丝线,线头两端分别系一
Nasolacrimal duct obstruction is a common disease ENT, the past mainly to dacryocystorhinostomy. Our hospital since 1995, in the lacrimal passage probing threading on the basis of the cable method to take the treatment of 33 cases of the disease, and achieved good results in the near future, the report is as follows. 1 Clinical data 1.1 The choice of surgical object Long-term tear overflow confirmed nasolacrimal duct obstruction in patients with lacrimal duct purulent or only a small amount of mucus secretions, no nasal disease. 3 males and 30 females, aged 20 to 56 years. Right in 15 cases, left 18 cases. Two of them had failed dacryocystorhinostomy. 1.2 surgical methods preoperative 3d antibiotic eye drops eye and wash the lacrimal duct 1 times a day. Punctatus and nasal mucosa surface anesthesia, perilymphillary canal infiltration anesthesia, dilator dilatation of tears to expand the dot, with a self-made blunt puncture needle on the 7th line of tears from the tear line probing, pull out the needle core, the line Into the nasal cavity, lead from the nasal retrograde 1 No. 7 thread, the thread ends of a line, respectively