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目的观察改良桥式单瓣泪囊鼻腔吻合术的临床效果。方法采用改良桥式单瓣泪囊鼻腔吻合术对1016例慢性泪囊炎患者进行治疗。结果1016例患者中,990例效果满意;但26例仍有溢泪,其中16例有溢泪而泪道冲洗畅通,4例术后第3天再次打开探查,清除凝血块后获得成功,6例术后再次阻塞,3个月后2次手术畅通4例,另2例2次手术仍无效。术后随访最短半个月,最长16年。结论应用改良桥式单瓣缝合治疗慢性泪囊炎大多数效果满意。
Objective To observe the clinical effect of modified bridge single valve dacryocystorhinostomy. Methods A total of 1016 patients with chronic dacryocystitis were treated with modified single bridge dacryocystorhinostomy. Results Among the 1016 patients, 990 patients were satisfied with the results. However, there were still 26 cases of overflowing tears. Among them, 16 cases had tears and the lacrimal passages were unblocked. In 4 cases, the exploration was opened again on the 3rd day after operation and the clot was removed successfully. 6 In another case, the patient was obstructed again, and in 4 months after 2 months, the other 4 patients were still inactive. The shortest follow-up of half a month, a maximum of 16 years. Conclusion Modified bridge single-flap suture treatment of chronic dacryocystitis most of the results satisfactory.