摘要
目的分析经鼻内镜下鼻腔泪囊吻合术在泪道阻塞患者中的应用效果。方法选取2020年8月至2022年3月余姚市人民医院眼科接诊的72例泪道阻塞患者作为研究对象,采用随机数字表法将其分为对照组和研究组(各36例)。对照组采用常规鼻腔泪囊吻合术,研究组采用改良经鼻内镜下鼻腔泪囊吻合术。比较两组的临床效率、泪腺分泌功能、溢泪程度评分及泪道通畅率及复发率。结果研究组的临床总有效率高于对照组,差异有统计学意义(P<0.05)。术前,两组的SchirmerⅠ、破裂时间(BUT)比较,差异无统计学意义(P>0.05)。两组术后8周的SchirmerⅠ、BUT短于本组术前,差异有统计学意义(P<0.05)。术后8周,研究组的SchirmerⅠ短于对照组,BUT短于对照组,差异有统计学意义(P<0.05)。术前,两组的溢泪程度评分比较,差异无统计学意义(P>0.05)。两组术后8周的溢泪程度评分低于本组术前,差异有统计学意义(P<0.05)。术后8周,研究组的溢泪程度评分低于对照组,差异有统计学意义(P<0.05)。研究组术后6个月的复发率低于对照组,差异有统计学意义(P<0.05)。结论经鼻内镜下鼻腔泪囊吻合术在泪道阻塞患者中应用可提高有效率,促进泪腺分泌功能恢复,降低复发率。
Objective To analyze the effect of endoscopic dacryocystostomy in patients with lacrimal duct obstruction.Methods A total of 72 patients with lacrimal duct obstruction admitted to the Department of Ophthalmology of Yuyao People's Hospital from August 2020 to March 2022 were selected as the research objects.They were divided into control group and study group(36 cases each)by random number table method.The control group received conventional dacryocystorhinostomy and the study group received modified dacryocystorhinostomy under nasal endoscope.The clinical efficiency,lacrimal gland secretion function,lacrimal overflow degree score,lacrimal duct patency rate and relapse rate were compared between the two groups.Results The total clinical effective rate of the study group was higher than that of the control group,and the difference was statistically significant(P<0.05).Before surgery,there were no significant differences in SchirmerⅠ,break-up time(BUT)between the two groups(P>0.05).The SchirmerⅠ,BUT at 8 weeks after surgery were shorter than those before surgery,and the differences were statistically significant(P<0.05).At 8 weeks after surgery,SchirmerⅠin the study group was shorter than that in the control group,BUT was shorter than that in the control group,the differences were statistically significant(P<0.05).Before surgery,there was no significant difference in the degree of lacrimal discharge between the two groups(P>0.05).The lacrimal discharge degree score of the two groups at 8 weeks after surgery was lower than that before surgery,the difference was statistically significant(P<0.05).At 8 weeks after surgery,the lacrimal discharge degree score of the study group was lower than that of the control group,the difference was statistically significant(P<0.05).The recurrence rate 6 months after operation in the study group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion In patients with lacrimal duct obstruction,endoscopic dacryocystitis can improve the effective rate,promote the recovery of lacrimal gland secretory function,and reduce the recurrence rate.
作者
毛科杰
姚春晓
韩亚波
MAO Kejie;YAO Chunxiao;HAN Yabo(Department of Ophthalmology,Yuyao People's Hospital,Zhejiang Province,Ningbo 315400,China)
出处
《中国当代医药》
CAS
2023年第15期93-95,100,共4页
China Modern Medicine
基金
浙江省余姚市人民医院院级课题(2019QA06)。
关键词
鼻内镜
鼻腔泪囊吻合术
泪道
通畅状态
Nasal endoscopy
Nasal dacryocystorhinostomy
Lacrimal passage
Unobstructed state
