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Curative effect and safety of modified dacryocystorhinostomy with simple anterior flap anastomosis in the treatment of chronic dacryocystitis

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Author:: No author available

Journal Title:: International Eye Science

Issue:: 6

DOI:: 10.3980/j.issn.1672-5123.2020.6.35

Key Word:: 慢性泪囊炎;泪囊鼻腔吻合术;鼻黏膜瓣;改良术式;疗效

Abstract：目的:分析单纯吻合前瓣的改良式泪囊鼻腔吻合术治疗慢性泪囊炎的疗效及安全性.方法:回顾性收集2016-03/2018-07行泪囊鼻腔吻合术的99例113眼慢性泪囊炎患者,按手术方式分为传统组(传统泪囊鼻腔吻合术,46例52眼)与改良组(单纯吻合前瓣的改良术式,53例61眼),比较两组手术效果、术后不同时间吻合口周围肉芽组织形成率、鼻腔黏膜上皮化率、吻合口大小、手术并发症发生情况及随访1a复发率.结果:改良组随访6mo疗效优于传统组(P<0.05),总治愈率高于传统组(75.0％vs 95.1％,P=0.002).术后1、3、6mo改良组肉芽组织形成率(3.8％、5.7％、9.4％)均低于传统组(P<0.001);术后1mo改良组鼻黏膜上皮化率高于传统组(64.2％vs 39.1％,P<0.001);术后6mo改良组吻合口面积大于传统组(25.63±4.76 vs 11.34±3.52mm2,P<0.01);改良组术后出血及总并发症发生率及随访1a复发率均低于传统组(P<0.05).结论:单纯吻合前瓣的改良式泪囊鼻腔吻合术治疗慢性泪囊炎手术治愈率高于传统术式,可促进鼻腔黏膜上皮化,维持吻合口宽敞,防止周围肉芽组织形成,安全有效,并发症少,复发率低.

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