原创《鼻内镜下鼻腔泪囊造口术存在的问题与针对性处理》：本文关于造口术论文范文,可以做为相关论文参考文献,与写作提纲思路参考。
[摘 要] 目的 探讨鼻内镜下鼻腔泪囊造口术中、术后常见的问题及其处理方法.方法 方便选取该院2012年6月—2016年12月收治的41例（共45眼）长期溢泪、溢脓、经反复泪道冲洗或经鼻外鼻腔泪囊吻合术后治疗无效的患者行鼻内镜下鼻腔泪囊造口术,术后随访2个月～1年,观察术后溢泪、溢脓、泪道冲洗通畅及造口处上皮化情况.结果41例（45眼）患者中有39例（43眼）治愈,术后无溢泪、溢脓,泪道冲洗通畅,鼻内镜下造口处上皮约在1～1.5个月上皮化良好,仅2例（2眼）无效（1例系多次行鼻外鼻腔淚囊吻合术患者,1例系颌面部外伤患者）,术后仍溢泪、溢脓,泪道冲洗不通畅,鼻内镜下鼻腔泪囊造口处闭合. 结论 熟练的鼻内镜操作技术、正确判断泪囊在鼻腔外侧壁的位置、泪囊造口的大小、位置及粘膜瓣的处理是鼻内镜下鼻腔泪囊造口术成功的关键所在.
[关键词] 鼻内镜；鼻腔泪囊造口术；慢性泪囊炎；泪囊；中甲腋线；棉花堵塞
[中图分类号] R777 [文献标识码] A [文章编号] 1674-0742（2017）12（b）-0072-04
[Abstract] Objective To study the common problems in operation and after operation and handling methods of endoscopic transnasal dacryocystorhinostomy. Methods 41 cases （45 long-term epiphora and pyorrhea in total） in our department from June 2012 to December 2016 were convenient selected and underwent the endoscopic transnasal dacryocystorhinostomy after the ineffective treatment of repeated lacrimal passage washing or endoscopic transnasal dacryocystorhinostomy, and the patients were followed up for two months to 1 year, and the postoperative epiphora and pyorrhea, ooth irrigation of lacrimal passage and epithelialization at the stoma were observed. Results There were 39 cases （43 eyes） cured in 41 cases （45 eyes）, and there was no epiphora, pyorrhea and ooth irrigation of lacrimal passage, and the epithelization at the endoscopic stoma was good between 1 month and 1.5 months, only 2 cases （2 eyes） were ineffective （1 case treated with multiple ectorhinal transnasal dacryocystorhinostomy, and 1 case with maxillofacial wound）, and the patients were still with epiphora and pyorrhea, ooth irrigation of lacrimal passage, and the endoscopic nasal dacryocyst stoma was closed. Conclusion The skilled endoscopic operation skill, accurate determination of dacryocyst’s site in the lateral wall of the nasal city, size, site and treatment of mucosal flap of dacryocyst stoma are the key to the success of endoscopic transnasal dacryocystorhinostomy.
[Key words] Nasal endoscopy； Dacryocystorhinostomy； Chronic dacryocystitis； Dacryocyst； Axilla of the middle turbinate； Cotton clogging
慢性泪囊炎是眼科常见病之一,主要表现为溢泪、溢脓,局部皮肤红肿,甚至破溃,严重影响患者的生活质量,治疗方式主要以手术为主[1].常见手术方式包括传统的鼻外鼻腔泪囊吻合术及新兴的鼻内镜下鼻腔泪囊造口术.较传统的鼻外鼻腔泪囊吻合术,鼻内镜下鼻腔泪囊造口术具有手术操作简洁、创面损伤小、术中出血少、术后无面部疤痕及恢复快、疗效确切、并发症少[2],同期还可解决鼻腔、鼻窦病变等优势,逐渐被越来越多的临床医生和患者所采纳.有文献报道[3]称其将取代传统鼻外鼻腔泪囊吻合术,成为治疗慢性泪囊炎的首选术式 .但鼻内镜下鼻腔泪囊造口如何处理仍是手术的难点之一.现对2012 年6月—2016年12月在该院行鼻内镜下鼻腔泪囊造口术的41例45眼且随访2～12个月的慢性泪囊炎患者资料做回顾性临床分析及总结,评价临床疗效及探讨术中、术后常遇到的问题及其处理方法,现报道如下.
1 资料与方法
造口术论文参考资料：
结论：鼻内镜下鼻腔泪囊造口术存在的问题与针对性处理为关于对写作造口术论文范文与课题研究的大学硕士、相关本科毕业论文造口术论文开题报告范文和相关文献综述及职称论文参考文献资料下载有帮助。
