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我们采用前组筛窦直接开孔行鼻腔泪囊吻合术治疗慢性泪囊炎83例共87眼,成功86眼,随诊至今未见复发。该术式比常规手凿开窗方法节省时间,容易咬骨,骨孔较大,鼻腔粘膜瓣相对较宽,易于吻合。此外,自筛窦开孔有利于清除窦腔的炎症组织。新泪道增宽有利于分泌物向鼻腔引流。作者认为,该法具有节省时间,操作简便及成功率高的特点,值得临床推广及应用。
We use the former group of ethmoid direct open-hole nasal dacryocystorhinostomy 83 cases of chronic dacryocystitis a total of 87 eyes, the successful 86 eyes, no recurrence so far. The surgical method than the conventional hand-cut window method saves time, easy to bite bone, large hole, nasal mucosal flap is relatively wide, easy to anastomosis. In addition, the opening of the ethmoid sinus is conducive to the removal of inflammatory tissue of the sinuses. New lacrimal widening is conducive to drainage of secretions to the nasal cavity. The author believes that the method has the characteristics of saving time, simple operation and high success rate, which is worthy of clinical promotion and application.