鼻内镜下Na：YAG激光泪囊鼻腔造孔术远期疗效观察.pdfVIP

· 临床研究 · 2008年6月第5卷第l7期 鼻内镜下Na：YAG激光泪囊鼻腔造孔术远期疗效观察 李楚凌 ，黄健男2，吴陆敬 (1．广东省东莞市妇幼保健院耳鼻咽喉一头颈外科，广东东莞 511700；2．广东省第二人民医院耳鼻咽喉一头颈外科 ， 广东广州 510317；3．广东省东莞市黄江医院耳鼻咽喉一头颈外科，广东东莞 523750) 【摘要】目的：回顾性总结分析不同类型慢性泪囊炎患者鼻内镜下Na：YAG激光泪囊鼻腔造孔术远期效果，探讨影响 其疗效的相关因素。方法：对48例(58眼)不同类型慢性泪囊炎患者实施鼻内镜下Na：YAG激光泪囊鼻腔造口术， 原发性泪囊炎术中不留置扩张管，其他类型留置扩张管，术后规范化鼻内镜处理及泪道冲洗。结果：随访1～3年，治 愈率为79．3％(46／58)，好转率为10．3％(6／58)，无效率为10．3％(6／58)，总有效率为89．6％(52／58)，原发性泪囊炎患者有 效率为91．3％(42／46)。结论：该手术具有进路直接，泪囊定位准确，无须常规置管，面部无瘢痕，远期效果好等优点。 【关键词】鼻内镜；激光手术；泪囊鼻腔造孔术；慢性泪囊炎；远期疗效 【中图分类号】R762 【文献标识码】A 【文章编号】1673—7210(2008)06(b)一052—03 Endoscopic Na：YAG laser dacryocystorhinotomy long-term effects LI Chu-ling~，HUANG 帆一IlA2n2，WULu-jing3 (1．Department of Otolaryngology—Head and Neck Surgery，Dongguan Maternal and Child Hospital，Dongguan 5 1 1700， China；2．Department of Otorhinolaryngology-Head and Neck Surgery，Second People’s Hospital of Guangdong， Guangzhou 510317，China；3．Department of Otolaryngology—Head and Neck Surgery，Huangjiang Hospital of Dongguan， Dongguan 523750，China) [Abstract]Objective：Retrospectively analyzed patients with different types of chronic dacryocystitis who recieved Na： YAG laser for daeryoeystorhinotomy under endoscopic，explored long—term effect and efficacy relevant factors．Methotis： Forty—eight cases(58 eyes)with different types of chronic dacryocystitis had received the operation with endoscopic Na： YAG laser for daeryoeystorhinostomy，primary dacryocystitis not had indwelling duct of the expansion，had indwelling duct of the expansion was keeped and in other types and performed standardized treatment and lacrimal washing under endo— seopi~．Results：Followed—up those results in 1-3