[The effect of endoscopic dacryocystorhinostomy on different lacrimal duct obstruction]

Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2021 Aug;35(8):677-682. doi: 10.13201/j.issn.2096-7993.2021.08.002.
[Article in Chinese]

Abstract

Objective:To observe the effect of endoscopic dacryocystorhinostomy on different lacrimal duct obstruction. Methods:Eighty eyes with the lacrimal passage obstruction were collected, and treated with endoscopic dacryocystorhinostomy. Meanwhile, the abnormal structures of the nasal cavity were corrected and the pathological changes of the nasal cavity and sinuses were treated. The patients were followed up and the curative effect was observed. Follow-up period ranged from 10 months to 8 years. Results:The first operation cure rate was 78.8%, the effective rate was 17.5%, the ineffective rate was 3.8%, and the success rate was 96.2%. Two of the 3 eyes failed in first operation were cured by reoperation. The total success rate was 98.8%. Conclusion:Endoscopic dacryocystorhinostomy can be used as a routine operation in the treatment of different lacrimal duct obstruction. The structural abnormalities and pathological changes of the nasal cavity and paranasal sinuses can be treated simultaneously. Combined with postoperative treatment and follow-up, long-term curative effect can be obtained.

目的:观察鼻内镜泪囊鼻腔吻合术对不同原因泪道阻塞的疗效。 方法:收集80眼泪道阻塞患者,行鼻内镜泪囊鼻腔吻合术,术中同时矫正鼻腔结构异常,处理鼻腔鼻窦病变。术后随访10个月~8年。 结果:一期治愈率为78.8%,有效率为17.5%,无效率为3.8%,一期成功率为96.2%。一期手术无效3眼中,2眼再次手术后治愈,总成功率为98.8%。 结论:针对不同原因引起的泪道阻塞,鼻内镜泪囊鼻腔吻合术可作为常规术式,术中可同时处理鼻腔鼻窦结构异常和病变,结合术后治疗和随访,可获得长期疗效。.

Keywords: dacryocystorhinostomy; endoscopic surgical procedures; lacrimal duct obstruction; nasolacrimal duct.

MeSH terms

  • Dacryocystorhinostomy*
  • Endoscopy
  • Humans
  • Lacrimal Apparatus* / surgery
  • Lacrimal Duct Obstruction*
  • Nasolacrimal Duct* / surgery
  • Treatment Outcome

Grants and funding

国家重点研发计划(No:2016YFC0905200);长江学者和创新团队(No:IRT13082);国家自然科学基金(No:81630023、81970852);北京市医院管理中心“使命计划”(No:SML20150203);北京市百千万人才计划(No:2019A32);北京市属医学科研院所公益发展改革试点项目(京医研2019-10)