Dacryocystorhinostomy under nasal endoscope combined with lacrimal duct catheterization
10.3760/cma.j.issn.1008-1372.2018.01.025
- VernacularTitle:鼻内镜下泪囊造瘘联合泪道置管术与鼻腔泪囊吻合术的临床对比研究
- Author:
Zhiping TANG
1
;
Lan LIU
;
Xueliang XU
;
Xiaobo XIA
Author Information
1. 410000 长沙,中南大学湘雅医院眼科;418000 湖南省怀化,湖南医药学院第一附属医院眼科
- Keywords:
Endoscopy;
Dacryocystorhinostomy;
Lacrimal apparatus/SU
- From:
Journal of Chinese Physician
2018;20(1):100-102,106
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the clinical effect of dacryocystorhinostomy under nasal endoscope combined with lacrimal duct catheterization.Methods The retrospective comparative study was used to analyze 120 patients with chronic dacryocystitis in our hospital from June,2012 to May,2016,of whom 60 patients were treated with traditional dacryocystorhinostomy,and 60 patients were treated with dacryocystorhinostomy under nasal endoscope combined with lacrimal duct catheterization.Half year after the operation the patients were re-examined for the patency of their lacrimal passages and postoperative complication.The disappearance of tearing and the unobstructed patency of the lacrimal passages were set as the standard of a successful operation.The statistically analyzing was performed.Results Six months after operation,the success rate of dacryocystorhinostomy under nasal endoscope combined with lacrimal duct catheterization was 93.3％,the success rate of traditional dacryocystorhinostomy was 90.0％,without statistical difference between two types of operation (P ＞ 0.05).The skin scar formation rate in dacryocystorhinostomy under nasal endoscope combined with lacrimal duct catheterization was 0,while 100％ in traditional dacryocystorhinostomy,with statistical significant difference (P =0.00).The success rate of two-stage operation was 100％ after dacryocystorhinostomy under nasal endoscope combined with lacrimal duct catheterization for recurrence,while 16.7％ after traditional dacryocystorhinostomy,the difference is of statistical significance (P =0.048).Conclusions Dacryocystorhinostomy under nasal endoscope combined with lacrimal duct catheterization is not only reliable,effective method for treating chronic dacryocystitis,but also with less iatrogenic trauma,and no scar.
