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目的探讨鼻内镜下行鼻腔泪囊吻合术的手术效果。方法采用鼻内镜对我院96例患者(112眼)行鼻腔泪囊吻合术,如患者有鼻腔疾患并行鼻内镜下鼻部手术,术后观察泪道通畅情况。结果 96例(112眼)患者术后6个月冲洗通畅108眼(96.4%),通畅欠佳3眼(2.7%),仍堵塞1眼(0.9%)。结论经鼻内镜下行鼻腔泪囊吻合术具有较多优点,其手术效果接近于传统手术,符合现代外科手术微创要求,避免了面部疤痕,满足了患者美容的需求。同时与眼科医生密切合作和正确选择病例,可以提高经鼻内镜下鼻腔泪囊吻合术的疗效。
Objective To investigate the surgical results of nasal endoscopic dacryocystorhinostomy. Methods 96 patients (112 eyes) were treated with nasal endoscopic dacryocystorhinostomy by nasal endoscopy. Nasal endoscopic nasal surgery was performed in patients with nasal diseases. The lacrimal patency was observed after operation. Results In 96 eyes (112 eyes), 108 eyes (96.4%) were unobstructed at 6 months after operation, 3 eyes (2.7%) had poor patency, and 1 eye was still blocked (0.9%). Conclusions Nasal endoscopic dacryocystorhinostomy has many advantages. The surgical results are similar to those of traditional surgery. It meets the requirements of minimally invasive surgery and avoids facial scars and meets the needs of patients’ beauty. At the same time close cooperation with ophthalmologists and the correct choice of cases, can improve the efficacy of nasal endoscopic dacryocystorhinostomy.