改良泪囊鼻腔吻合术治疗高龄慢性泪囊炎的疗效观察

Clinical Observation on Modified Dacryocystorhinostomy on the Treatment of Elderly Chronic Dacryocystitis

摘要: 目的：探讨改良泪囊鼻腔吻合术治疗高龄慢性泪囊炎的临床疗效。方法：对47例(47眼)高龄慢性泪囊炎患者采用改良泪囊鼻腔吻合术，术中填入明胶海棉压平后瓣，只缝合前瓣，同时吻合腔置入导尿管支撑；术后定期冲洗，术后7 d拔除导尿管。结果：拔管后行泪道冲洗全部通畅，总有效率100%。术后随访2年，总有效率为100%。结论：改良泪囊鼻腔吻合术治疗高龄慢性泪囊炎，手术时间短，手术成功率高，是安全可行的。

Abstract: Objective: To explore the clinical effect of modified dacryocystorhinostomy (DCR) on the treatment of elderly chronic dacryocystitis patients. Method: 47 cases (47 eyes) of chronic dacryocystitis patients were treated with modified dacryocystorhinostomy; the gelatin sponge was filled with flat after flap, and only the front flap was just sutured during operation. At the same time, the catheter was put in and supported the anastomosis cavity, which was pulled out 7 days after operation, and the cavity was flushed periodically. Result: All of the lacrimal ducts were unobstructed after withdrawal of the catheter; the total effectiveness was 100%. During 2-year follow-up, the total effectiveness was 100%. Conclusion: The operation time of modified dacryocystorhinostomy on the treatment of elderly chronic dacryocystitis is short; it has a high operation success rate, and it is safe and feasible.