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目的 观察鼻内窥镜下激光泪囊鼻腔吻合术治疗泪道阻塞的临床疗效。方法 泪道阻塞患者30例（30眼）用鼻内窥镜下行激光泪囊鼻腔吻合术，术后置入环形线管（1年后拔管）。术后 1周、2周、1个月、2个月、6个月、12个月、18个月、24个月随访，进行泪道冲洗，对泪道畅通情况以及内窥镜下的泪囊鼻腔吻合口开放和周围组织增生情况进行观察。结果 所有患者12个月内带管冲洗均通畅，拔管时冲洗均通畅。拔管1月后治愈25例，治愈率为83.3%。结论 鼻内窥镜下激光泪囊鼻腔吻合术用于治疗泪道阻塞，创伤小，疗效显著。
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更新时间：2015-07-27
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鼻内窥镜下激光泪囊鼻腔吻合术的临床应用▲
Clinical application of laser dacryocystorhinostomy under nasal endoscope guidance
微创医学 201504期 页码：418-419,437
作者机构：（广西壮族自治区民族医院，广西医科大学附属民族医院眼科，南宁市530001）
基金信息：▲基金项目：广西区卫生厅科研课题（编号：z2011413）作者简介：唐秀武（1966～），男，硕士，副主任医师，研究方向：青光眼、眼外伤、美容整形。（收稿日期：20150413修回日期：20150610）
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- 英文简介
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Objective To investigate the therapeutic efficacy of laser dacryocystorhinostomy under nasal endoscope guidance for lacrimal passage obstruction. Methods Thirty patients (30 eyes) with lacrimal passage obstruction underwent laser dacryocystorhinostomy under nasal endoscope guidance. An annular linear tube was placed postoperatively and was removed at 1 year after surgery. All of the patients were followed up and received syringing of lacrimal passages at 1 week, 2 weeks, 1 month, 2 months, 6 months, 12 months, 18 months and 24 months after surgery. During the followup, the patency of lacrimal passage was assessed, and nasal endoscopy was conducted to explore the patency status of the ostium between nasal cavity and dacryocyst and the hyperplasia of tissues around the ostium. Results The lacrimal passages of 30 cases were patent when syringing was conducted with tube within 12 months. And obstruction of passages was not observed in any cases when syringing was conducted after the tube removal. The 25 patients were cured one month after the tube removal, and the cure rate was 83.3%. Conclusions Laser dacryocystorhinostomy under nasal endoscope guidance is an effective and less invasive approach for lacrimal duct obstruction.
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