论文部分内容阅读
慢性泪囊炎是眼科常见的多发病之一。由于鼻泪管的阻塞,导流泪液功能受阻,使泪囊产生大量粘性脓性分泌物,引起患者溢泪,内眦部糜烂以及结膜、角膜的继发感染,给病人带来不少痛苦。早在1904年Tot氏首先采用了在鼻腔对泪囊处造孔,使泪囊鼻腔相通。以后又有人将此术加以改进,除凿孔外又将泪囊与鼻粘膜缝合,即鼻泪管吻合术。近70多年来虽有许多对手术器械以及术式的改进,但基本原理未变。国内于1908年首先由聂传贤作了介绍,近数十年来已被全国各地广泛采用。此术虽取得了一定的疗效,但由于手术野较小、较深,操作不便,不易为基层卫生人员所掌握,尤需打开鼻泪骨,手术麻烦也给患者增加痛苦,
Chronic dacryocystitis is one of the most common ophthalmological diseases. Due to the obstruction of the nasolacrimal duct, the function of the guiding tear is blocked, which causes a large amount of viscous purulent discharge in the lacrimal sac, causing the patient to have tears, causing erosion in the inner part, and secondary infection of the conjunctiva and cornea, which brings a lot of suffering to the patient. As early as 1904, Tot’s first used in the nasal lacrimal sac to make holes, so that the dacryocystis nasal communication. Later, some people will be to improve this operation, in addition to punctured the lacrimal sac and nasal mucosa suture, that nasolacrimal duct anastomosis. Although there are many improvements to surgical instruments and surgical procedures in the past 70 years or so, the basic principle has not changed. Domestic first introduced in 1908 by Nie Chuanxian, the past few decades has been widely adopted throughout the country. Although this surgery has achieved a certain effect, but because of the smaller surgical field, deep, inconvenient to operate, not easy to grasp for the grass-roots health personnel, especially the need to open the nasolacrimal bone, surgical troubles also increase the pain of patients,