| 罗红强 罗兴中 贺雅琳.鼻泪管阻塞钻切术的改良研究及临床观察[J].实用中西医结合临床,2004,(6):7-8 |
| 鼻泪管阻塞钻切术的改良研究及临床观察 |
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| DOI： |
| 中文关键词: 鼻泪管阻塞 慢性泪囊炎 改良钻切术 临床观察 |
| 英文关键词: Nasolacrimal obstruction Chronic decryocystitis Improved operation on removed |
| 基金项目:江西省2003年科技进步三等奖获奖项目 |
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| 中文摘要: |
| 目的：观察使用自行设计改良的鼻泪管阻塞钻切术治疗慢性泪囊炎的疗效。方法：采用自制的环钻器等器械切除鼻泪管阻塞物，并置入自行设计的“Y”形网眼硅胶管防止再阻塞。结果：120眼中，术后3个月随访，109眼（90.83%）痊愈，4眼（3.33%）好转，7眼（5.84%）无效，总有效率94.16%，其中有50眼术后1~3年进行了随访观察，结果泪道冲洗通畅（含尚通畅）40眼（80%），不通畅10眼（20%）。结论：与传统的鼻泪管阻塞钻切术比较，近期、远期疗效均有极明显提高，（P<0.01）；与泪囊鼻腔吻合术相比，有操作简单和易于掌握、推广，特别适用于农村医院的优点，故受到基层及农村医师的欢迎。 |
| 英文摘要: |
| Objective：We have used the improved operation for removed nasolacrimal obstruction to kreatchronic decryocystitis. Methods： We make use of self-made frephine to remove nasolacrimal obstruction.Afrter it have been done.We place the silica gel with mesh in the nasotacrimal to prevent postoperative rcobstruction.Results ：Followed up over 3 months after postoperation.all ot 120 eyes,109 cases(90.83%)was recovery,4 eyes(3.33%)was improved and 7 eyes(5.84%)was failed. The gencral curative rate was 94.16%. Among which 50 eyes of after operations have studied for 1~3 years. irrigation of lacrymal passages passages patency(contain part of patency)was 40 eyes(80%),non-patency 10 eyes(20%).Conciusions：Compared to decryosystoriy the operation is simple and grasped easily.We think the operation is worthy to extend specially in country hospital. |
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