The value of Lund-Mackay score in predicting the effect of simultaneous surgery of chronic dacryocystitis with chronic sinusitis
- VernacularTitle:Lund-Mackay评分预测慢性泪囊炎合并慢性鼻窦炎同期手术疗效的作用
- Author:
Rui-Feng Su
1
Author Information
- Publication Type:Journal Article
- Keywords: dacryocystorhinostomy; chronic dacryocystitis; chronic sinusitis; the nasal endoscope; Lund-Mackay Score
- From: International Eye Science 2020;20(6):1087-1090
- CountryChina
- Language:Chinese
-
Abstract:
AIM: To explore the value of Lund-Mackay score in the surgical treatment of chronic dacryocystitis with chronic sinusitis.
METHODS: Totally 92 cases(92 eyes)of chronic sinusitis with chronic dacryocystitis in our hospital from May 2016 to March 2019 were included in the prospective, single-blind study. According to Lund-Mackay score, the patients were divided into three groups: mild(22 cases), moderate(34 cases)and serious(36 cases). Each group was randomly divided into simultaneous operation group and phased operation group. We compared the operative effect and complications of simultaneous and phased operations.
RESULTS: In patients with mild and moderate chronic sinusitis combined with chronic dacryocystitis, there was no statistical difference in the efficiency and complications between simultaneous and phased operations(P>0.05). In patients with severe chronic sinusitis combined with chronic dacryocystitis, the efficiency of phased operations was higher than that of the simultaneous surgery(94% vs 61%, P<0.05), and the complications were lower than that of the simultaneous surgery(P<0.05).
CONCLUSION: According to Lund-Mackay score, patients with mild to moderate chronic sinusitis and chronic dacryocystitis are advised to undergo simultaneous surgery, while patients with severe rhinosinusitis are advised to undergo phased surgery.
- Full text:202006036.pdf