泪道内镜联合鼻内镜治疗泪囊鼻腔吻合术失败16例

16 cases of failed dacryocystorhinostomy combined with lacrimal duct endoscope and nasal endoscopic

摘要:

目的 探讨泪道内镜联合鼻内镜在治疗因泪囊鼻腔吻合术失败所致泪道阻塞的临床应用及效果。方法 该院眼科2011年11月～2012年2月诊治16例因泪囊鼻腔吻合术失败所致泪道阻塞患者，使用泪道内镜检查泪道，鼻内镜检查鼻腔，使用980 nm半导体激光烧灼形成通道。术后随访观察疗效。结果 16例患者泪囊鼻腔吻合口均可观察到黏膜增生覆盖。术中再通率100%，术后每周冲洗通畅率100%。随访6个月冲洗通畅率100%。结论 泪道内镜联合鼻内镜可有效治疗泪囊鼻腔吻合术失败所致泪道阻塞。

Abstract:

【Objective】 To explore clinical application and effect of lacrimal duct endoscopy and nasal endoscopicabout treating the lacrimal duct obstructive disease caused by failed dacryocystorhinostomy. 【Methods】 In our hospital from November 2011 to February 2012 make a diagnosis and give treatment in 16 patients for lacrimal duct obstructive caused by dacryocystorhinostomy failure, using lacrimal duct endoscopy for lacrimal duct inspection, and nasal endoscopy for nasal inspection, using 980 nm semiconductor laser treatment to form channel. Patients were followed up to observe curative effect. 【Results】 All cases of lacrimal sac nasal anastomotic jams were mucosal proliferation cover. Intraoperative recanalization rate was 100%, a week after operation, patency rate was 100%. Follow-up of 6 months, patency rate was 100%. 【Conclusion】 Lacrimal duct endoscope combined with endoscopic sinus can effectively treat lacrimal duct obstruction caused by dacryocystorhinostomy failure.