摘要
目的:研究对慢性泪囊炎应用鼻内镜下泪囊鼻腔吻合术治疗的临床效果。方法:本次研究样本选取时间为2017年3月-2018年3月,研究对象为于笔者所在医院接受治疗的96例慢性泪囊炎患者。按照患者就诊先后顺序,将96例慢性泪囊炎患者分为两组,即对照组48例与试验组48例。对照组采取传统吻合术进行治疗,而试验组则给予鼻内镜下泪囊鼻腔吻合术进行治疗,将两组治疗有效率、并发症发生率与吻合口面积进行对比。结果:对照组治疗有效率仅为83.33%,而试验组则高达95.83%,差异有统计学意义(P<0.05);对照组并发症发生率高达12.50%,而试验组仅为2.08%,差异有统计学意义(P<0.05);对照组治疗1年后吻合口面积为(7.13±0.64)mm^2,试验组为(8.42±0.48)mm^2,两组差异有统计学意义(P<0.05)。结论:临床在治疗慢性泪囊炎患者时,应首先考虑应用鼻内镜下泪囊鼻腔吻合术,其能有效提高临床治疗有效率,降低并发症发生率,从而促进患者康复,此方法具有参考价值。
Objective:To study the clinical effect of dacryocystorhinostomy under nasal endoscope in patients with chronic dacryocystitis.Method:A total of 96 patients with chronic dacryocystitis who received treatment in our hospital were selected from March 2017 to March 2018.They were divided into two groups according to the sequence of patient visits,48 patients in the control group and 48 patients in the experimental group.Patients in the control group were treated with traditional anastomosis,while patients in the experimental group were treated with dacryocystorhinostomy under nasal endoscope.The effective rate of treatment,the incidence of complications and the area of anastomosis between the two groups were compared.Result:The effective rate of treatment in the control group was only 83.33%,while that in the experimental group was as high as 95.83%,the difference was significant(P<0.05).The incidence of complications was as high as 12.50%in the control group,while 2.08%in the experimental group,the difference was significant(P<0.05).The anastomotic area of the control group was(7.13±0.64)mm^2 after 1 year of treatment,and that of the experimental group was(8.42±0.48)mm^2 after 1 year of treatment.The difference between the two groups was statistically significant(P<0.05).Conclusion:Dacryocystorhinostomy under nasal endoscope should be first considered in the treatment of patients with chronic dacryocystitis,which can effectively improve the effective rate of clinical treatment,reduce the incidence of complications,so as to promote the recovery of patients.This method has reference value.
作者
林勇
李仁高
LIN Yong;LI Rengao(Luliang Peifang Hospital of Luliang County,Luliang 655699,China)
出处
《中外医学研究》
2019年第35期148-150,共3页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
鼻内镜
慢性泪囊炎
泪囊鼻腔吻合术
Nasal endoscope
Chronic dacryocystitis
Dacryocystorhinostomy
