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目的 :探讨上颌窦梨状孔联合进路手术中泪道的保护和修复。方法 :回顾总结 1996年 2月至1999年 3月上颌窦梨状孔联合进路手术 2 0例中泪道的保护和修复。结果 :18例手术后无泪溢现象 ,2例出现术后流泪。结论 :熟悉掌握鼻泪管及其临近解剖结构 ,手术中对损伤泪道采取正确的补救措施和及时的术后治疗是预防术后泪溢的重要环节。
Objective: To study the protection and repair of lacrimal passage during the surgery of maxillary sinus piriform hole. Methods: To review and summarize the protection and repair of lacrimal passage in 20 cases of maxillary sinus surgery combined with piriformis hole from February 1996 to March 1999. Results: There was no leakage of tears after operation in 18 cases and postoperative tears in 2 cases. Conclusion: It is an important part of prevention of postoperative edema that the familiarization of the nasolacrimal duct and its adjacent anatomical structures, the proper remedial measures and prompt postoperative treatment of the lacrimal passages during operation are familiar.