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经鼻内镜行泪囊鼻腔吻合术结合膨胀海绵填塞治疗慢性泪囊炎的临床研究

毛祚荃 徐绍明 李中武

中国当代医药Issue(35):100-102,105,4.
中国当代医药Issue(35):100-102,105,4.

经鼻内镜行泪囊鼻腔吻合术结合膨胀海绵填塞治疗慢性泪囊炎的临床研究

Clinical study of dacryocystorhinostomy under nasal endoscope combined with expansive sponge as packing material on treating chronic dacryocys-titis

毛祚荃 1徐绍明 1李中武1

作者信息

  • 1. 南昌市安义县人民医院五官科,江西安义 330500
  • 折叠

摘要

Abstract

Objective To explore the clinical effect of dacryocystorhinostomy under nasal endoscope combined with ex-pansive sponge as packing material on treating chronic dacryocystitis. Methods From January 2014 to April 2015,60 patients with chronic dacryocystitis admitted into our hospital were evenly divided into group A (traditional external dacryocystorhinostomy) and group B (dacryocystorhinostomy under nasal endoscope combined with expansive sponge as packing material) by a random number table.The therapeutic effect and hemostatic and analgesic effect by two kinds of packing material between two groups were compared. Results The total effective rate was 63.3% in group A,while in group B,the rate was 93.3%(P<0.05).In group B,83.3% of the patients whose amount of bleeding was less than 20 ml, which was more than that in group A (P<0.05).The number of patients whose amount of bleeding between 50 ml to 80 ml in group A was less than that in group A.On filling in or withdrawing out of packing materials in group B,the pain de-grees was (2.06±0.26) points and (2.28±0.23) points respectively,while group A,it was (6.15±0.55) points and (6.65±0.56) points respectively.Pain degrees in group B was milder than in group A (P<0.05). Conclusion Dacryocystorhinostomy under nasal endoscope combined with expansive sponge as packing material on treating chronic dacryocystitis has ad-vantages of small wound,little amount of bleeding,and definite effect.

关键词

鼻内镜/泪囊鼻腔吻合术/膨胀海绵/慢性泪囊炎

Key words

Nasal endoscope/Dacryocystorhinostomy/Expansive sponge/Chronic dacryocystitis

分类

临床医学

引用本文复制引用

毛祚荃,徐绍明,李中武..经鼻内镜行泪囊鼻腔吻合术结合膨胀海绵填塞治疗慢性泪囊炎的临床研究[J].中国当代医药,2015,(35):100-102,105,4.

中国当代医药

1674-4721

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