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目的:探讨鼻内窥镜下Nd-YAG激光鼻腔泪囊造孔术的效果。方法:应用鼻内窥镜及YAG激光造孔治疗慢性泪囊炎28例(3眼),并与传统手术24例(30眼)进行比较。结果:术后随访6个月~3年,两组痊愈率分别为100%和93.3%,疗效无显著差异(P>O.01)。结论:鼻内窥镜下YAG激光鼻腔泪囊造孔术治疗慢性泪囊炎具有操作简便,创伤小,并发症少,面部不留疤痕,可同期处理鼻内病变,成功率高等优点,值得推广。
Objective: To investigate the effect of Nd-YAG laser nasal dacryocystorhinostomy under nasal endoscopy. Methods: Nasal endoscopy and YAG laser were used to treat 28 cases (3 eyes) of chronic dacryocystitis and compared with 24 cases (30 eyes) with conventional surgery. Results: All the patients were followed up for 6 months to 3 years. The cure rates of the two groups were 100% and 93.3% respectively, with no significant difference (P> O.01). Conclusions: YAG laser nasal lacrimal sac perforation under nasal endoscopy has the advantages of simple operation, less trauma, fewer complications, no facial scarring, simultaneous treatment of nasal lesions and high success rate, which is worthy of popularization .