鼻内镜下泪囊鼻腔造口术

doi:10.6040/j.issn.1673-3770.1.2016.11

JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY) ›› 2017, Vol. 31 ›› Issue (1): 114-118.doi: 10.6040/j.issn.1673-3770.1.2016.11

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Endoscopic dacryocystorhinostomy.

Department of Otorhinolaryngology &Head and Neck Surgery, Key Laboratory of Otolaryngology of Head Ministry, Qilu Hospital of Shandong University, Jinan 250012, Shandong, China〓〓既往慢性泪囊炎的手术治疗主要由眼科医生经内眦切口从鼻外途径进行, 由于该入路不易观察鼻腔内结构, 泪囊与鼻腔黏膜的吻合口暴露不清楚, 有时会使泪囊在鼻腔的造口位置偏移到前组筛窦中, 影响吻合口对泪液的引流。对合并鼻窦炎的慢性泪囊炎患者, 由于眼科医生不能同期处理鼻窦病变, 影响了手术的成功率。鼻内镜下泪囊鼻腔造口术充分利用了泪囊周围解剖层次的特点, 使泪囊手术在直视下很方便地从鼻腔进行, 具有损伤小、无面部皮肤切口、方法简便、并发症少、成功率高等优点, 在临床上已显示出广阔的应用前景。目前, 越来越多的眼科医生也开始在鼻内镜下进行泪囊手术, 显示了该技术治疗泪道疾病的强大优势。

Received:2016-06-01 Online:2017-02-16 Published:2017-02-16

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