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目的:比较泪囊鼻腔吻合术与内窥镜下经鼻泪囊鼻腔造口术对慢性泪囊炎的疗效,探讨治疗慢性泪囊炎的最佳手术方法。方法:回顾性分析我院2015年1月至2016年3月63例慢性泪囊炎患者手术治疗效果,其中内窥镜下经鼻泪囊鼻腔造口术23例,采用传统泪囊鼻腔吻合术40例,术后随访3-6月观察手术疗效。结果:泪囊鼻腔吻合术与内窥镜下经鼻泪囊鼻腔造口术治疗慢性泪囊炎的疗效无显著差异(χ~2=1.941,P>0.05)。结论:泪囊鼻腔吻合术与内窥镜下经鼻泪囊鼻腔造口术均是治疗慢性泪囊炎的可靠方法。前者手术视野大,便于解剖结构辨认与手术操作,易广泛应用;后者操作简单快捷、并发症少,微创术后反应及疗效好,有推广前景。
Objective: To compare the curative effect of dacryocystorhinostomy and endoscopic nasal dacryocystorhinostomy on chronic dacryocystitis and to explore the best surgical method for the treatment of chronic dacryocystitis. Methods: A retrospective analysis of our hospital from January 2015 to March 2016 in 63 cases of chronic dacryocystitis in patients with surgical treatment, including endoscopic nasal dacryocystorhinostomy 23 cases, the use of traditional dacryocystorhinostomy 40 cases were followed up for 3 to 6 months to observe the effect of surgery. Results: There was no significant difference between the dacryocystorhinostomy and endoscopic nasolacrimal duct nasal ostomy in the treatment of chronic dacryocystitis (χ ~ 2 = 1.941, P> 0.05). CONCLUSIONS: Dacryocystorhinostomy and endoscopic nasolacriminoplasty are reliable methods for the treatment of chronic dacryocystitis. The former has a large field of vision for easy identification and operation of anatomical structures and is widely used. The latter has the advantages of simple and quick operation, less complications, good postoperative response to minimally invasive surgery and good promotion prospects.