国际眼科杂志2026，Vol.26Issue(4)：623-628,6.DOI:10.3980/j.issn.1672-5123.2026.4.12
内镜下泪囊鼻腔吻合术个性化机械支撑的研究进展
Recent advances in personalized mechanical support for endoscopic dacryocystorhinostomy
摘要
Abstract
Endoscopic dacryocystorhinostomy(En-DCR)alleviates the clinical symptoms caused by lacrimal drainage obstruction by creating a new anatomical pathway between the lacrimal sac and the nasal cavity.Whether mechanical support of the anastomotic cavity is necessary during En-DCR,as well as the optimal mode of support,remains a subject of ongoing clinical debate.Current evidence suggests that routine primary En-DCR does not require mechanical support of theanastomosis.However,in patients with complex conditions—such as high-level or extensive obstruction,a small lacrimal sac,traumatic lacrimal injury,or those undergoing revision surgery—lacrimal stenting is generally recommended to maintain patency of the surgical cavity.In addition,selective nasal cavity support may be considered for patients at high risk of postoperative bleeding,with a large bony ostium,extensive mucosal injury,or those undergoing concomitant intranasal or endoscopic sinus procedures.This review addresses En-DCR from three perspectives:procedures without mechanical support,selective lacrimal pathway support,and selective nasal cavity support.It summarizes recent advances in the individualized selection of mechanical support strategies for En-DCR,analyzes their clinical outcomes and existing controversies,and aims to provide a theoretical reference for clinical practice to help optimize treatment strategies for lacrimal drainage disorders.关键词
内窥镜/泪囊鼻腔吻合术/吻合口/泪道阻塞/泪道支架/鼻腔填塞/缝合技术Key words
endoscopy/dacryocystorhinostomy/anastomosis/lacrimal duct obstruction/lacrimal stent/nasal packing/suture techniques引用本文复制引用
马甜,田秋实,逄明杰..内镜下泪囊鼻腔吻合术个性化机械支撑的研究进展[J].国际眼科杂志,2026,26(4):623-628,6.基金项目
青岛市医疗卫生优秀人才培养项目(No.V 市DTR2020Y15) Qingdao Medical and Health Outstanding Talent Training Program(No.V City DTR2020Y15) （No.V 市DTR2020Y15）
