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目的探讨泪囊鼻腔吻合术治疗慢性泪囊炎的临床效果及手术操作技巧。方法对25例慢性泪囊炎患者行泪囊鼻腔吻合术,术中用小号乳突咬骨钳扩大骨孔、凡士林油纱填压后瓣、鼻黏膜瓣单瓣缝合,术后麻黄素滴鼻剂滴鼻。结果慢性泪囊炎行泪囊鼻腔吻合术成功率92%,效果满意。结论泪囊鼻腔吻合术是治疗慢性泪囊炎的行之有效的方法,注意手术中操作技巧及术后处理,可减少并发症,提高手术成功率。
Objective To investigate the clinical effect and surgical technique of dacryocystorhinostomy for chronic dacryocystitis. Methods Twenty - five patients with chronic dacryocystitis underwent dacryocystorhinostomy. The procedure was to expand the bone with a small mastoid rongeur, fill with vaseline gauze, single flap of nasal mucosa flap, ephedrine Nasal drops nasal drops. Results of dacryocystitis dacryocystorhinostomy 92% success rate, the effect is satisfactory. Conclusions Dacryocystorhinostomy is an effective method for the treatment of chronic dacryocystitis. Pay attention to operation skills and postoperative management to reduce the complications and improve the success rate of operation.