国际眼科杂志Issue(10)：1895-1897,3.DOI:10.3980/j.issn.1672-5123.2014.10.47
不填塞吻合腔的泪囊鼻腔吻合术临床观察
Clinical observation of external dacryocystorhinostomy without packing anastomosis cavity
刘丽丹 1余正星1
作者信息
- 1. 400081 中国重庆市，重钢总医院眼科
- 折叠
摘要
Abstract
AIM:To find an efficient and simple surgical procedure of the external dacryocystorhinostomy ( EXT- DCR) in the treatment of chronic dacryocystitis. <br> METHODS:A total of 270 cases were performed in this retrospective study. A comparison of clinical effects and hemorrhage complications between the experimental group, in which 189 eyes of 167 patients that underwent traditional EXT-DCR without packing, and the control group, in which 121 eyes of 103 patients that underwent traditional EXT-DCR with Vaseline gauze were performed. The postoperative follow-up ranged from 6 to 36mo ( the mean follow-up was 15±3. 6mo). <br> RESULTS: There were no significant differences in the curative rates between the two groups (97. 9% vs 97. 5%, P>0. 05). But the incidence rate of moderate or severe postoperative nasal bleeding was lower in the experimental group (15. 9%, 30 eyes) than the control group (31. 4%, 38 eyes) and P<0. 01. <br> CONLUSION: The traditional EXT - DCR without packingis an effective procedure and is more effective in reducing moderate or severe postoperative bleeding when the intraoperative anastomose and the postoperative drainage are well done and the intraoperative bleeding is well controlled.关键词
慢性泪囊炎/泪囊鼻腔吻合术/吻合腔/填塞/鼻腔出血Key words
chronic dacryocystitis/external dacryocystorhinostomy/anastomosis cavity/packing/nasal bleeding引用本文复制引用
刘丽丹,余正星..不填塞吻合腔的泪囊鼻腔吻合术临床观察[J].国际眼科杂志,2014,(10):1895-1897,3.
