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目的:探讨彩色多普勒超声检查在慢性泪囊炎诊断中的应用价值。方法:临床诊断慢性泪囊炎269例326眼,术前行彩色多普勒超声检查,根据泪囊周围及泪囊内有无其他病变,指导制定不同手术方案。结果:326眼泪囊均有不同程度扩大,泪囊内有不同程度弱点团状回声。泪囊壁可见较丰富的血流信号。其中有3眼于泪囊深侧眶内可见黏液囊肿,有21眼可见泪囊内有其他病变。结论:彩色多普勒超声可直观地观察泪囊周围及泪囊内病变,可以指导制定慢性泪囊炎手术方案。
Objective: To investigate the value of color Doppler ultrasonography in the diagnosis of chronic dacryocystitis. Methods: 269 cases of 326 cases with chronic dacryocystitis were diagnosed clinically. Color Doppler echocardiography was performed preoperatively. According to the presence or absence of other lesions in the dacryocyst and dacryocyst, different surgical regimens were established. Results: 326 eyes have different degrees of dilatation of the lacrimal sac, there are varying degrees of dural cystic echoes. Dacryocyst showed more abundant blood flow signal. Among them, 3 eyes showed mucous cyst in the deep side of the lacrimal sac. There were 21 other lesions in the lacrimal sac. Conclusion: Color Doppler ultrasound can directly observe the lacrimal sac around the dacryocyst and pathological changes, can guide the development of chronic dacryocystitis surgical options.