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目的探讨经鼻内镜下泪囊鼻腔造孔术对复发性泪囊炎的临床疗效。方法对38例(42眼)经皮鼻腔泪囊吻合术后复发的慢性泪囊炎患者,行鼻内镜下鼻腔泪囊造孔术,术中去除瘢痕、肉芽组织及鼻科疾病等复发因素,术后给予留置硅胶管3～6个月。结果术后8个月～2年随访,治愈35眼,占83.3%;好转5眼,占11.9%;无效2眼,占4.8%;有效率为95.2%。结论鼻内镜下泪囊鼻腔造孔术治疗复发性泪囊炎损伤小,疗效满意。
Objective To investigate the clinical efficacy of nasal endoscopic dacryocystorhinostomy for recurrent dacryocystitis. Methods Thirty-eight patients (42 eyes) with chronic dacryocystitis who relapsed after dacryocystorhinostomy were treated by nasal endoscopic dacryocystorhinostomy, intraoperative scar removal, granulation tissue and nasal diseases , After giving silicone tube indwelling 3 to 6 months. Results 8 months to 2 years follow-up, 35 eyes were cured, accounting for 83.3%; 5 eyes were improved, accounting for 11.9%; 2 eyes were ineffective, accounting for 4.8%; 95.2% effective rate. Conclusion Endoscopic nasal dacryocystorhinostomy for the treatment of recurrent dacryocystitis injury is small, with satisfactory results.