[1]唐朝明,唐绍荣,谢 敏,等.鼻内镜下微创手术治疗急性泪囊炎的临床研究[J].医学信息,2024,37(11):108-111119.[doi:10.3969/j.issn.1006-1959.2024.11.020]
　TANG Chao-ming,TANG Shao-rong,XIE Min,et al.Clinical Study of Minimally Invasive Surgery Under Nasal Endoscope in the Treatment of Acute Dacryocystitis[J].Journal of Medical Information,2024,37(11):108-111119.[doi:10.3969/j.issn.1006-1959.2024.11.020]
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鼻内镜下微创手术治疗急性泪囊炎的临床研究()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
37卷
期数:
2024年11期
页码:
108-111119
栏目:
论著
出版日期:
2024-06-01

文章信息/Info

Title:
Clinical Study of Minimally Invasive Surgery Under Nasal Endoscope in the Treatment of Acute Dacryocystitis
文章编号:
1006-1959（2024）11-0108-05
作者:
唐朝明; 唐绍荣; 谢 敏; 等
（安远县人民医院眼耳鼻咽喉头颈外科，江西 安远 342100）
Author(s):
TANG Chao-ming; TANG Shao-rong; XIE Min; et al.
(Department of Head and Neck Surgery,Otorhinolaryngology,People’s Hospital of Anyuan County,Anyuan 342100,Jiangxi,China)
关键词:
鼻内镜; 微创手术; 急性泪囊炎
Keywords:
Nasal endoscopy; Minimally invasive surgery; Acute dacryocystitis
分类号:
R777.23
DOI:
10.3969/j.issn.1006-1959.2024.11.020
文献标志码:
A
摘要:
目的 研究鼻内镜下微创手术治疗急性泪囊炎的临床效果。方法 选取2022年4月-2023年4月我院诊治的64例急性泪囊炎患者为研究对象，采用随机数字表法分为对照组和观察组，各组32例。对照组采用传统吻合术治疗，观察组采用鼻内镜下微创手术治疗，比较两组临床手术及术后恢复指标（手术时间、手术准备时间、术后溢泪和溢脓时间）、疼痛（VAS）评分、临床疗效、并发症发生情况、美观满意度。结果 观察组手术时间、术后溢泪时间、术后溢脓时间均短于对照组（P＜0.05）；两组术后第3天VAS评分低于术前，且观察组低于对照组（P＜0.05）；观察组治疗总有效率为96.88%，高于对照组的87.50%（P＜0.05）；观察组并发症发生率为6.25%，低于对照组的15.63%（P＜0.05）；观察组美观满意度为100.00%，高于对照组的87.50%（P＜0.05）。结论 鼻内镜下微创手术治疗急性泪囊炎的效果理想，可提高治疗有效率，缩短手术时间、术后康复时间，降低并发症发生率，减轻疼痛度，提高美观满意度。
Abstract:
Objective To study the clinical effect of minimally invasive surgery under nasal endoscope in the treatment of acute dacryocystitis.Methods A total of 64 patients with acute dacryocystitis diagnosed and treated in our hospital from April 2022 to April 2023 were selected as the research objects. They were divided into control group and observation group by random number table method, with 32 patients in each group. The control group was treated with traditional anastomosis, and the observation group was treated with endoscopic minimally invasive surgery. The clinical operation and postoperative recovery indexes (operation time, operation preparation time, postoperative epiphora and pus time), pain (VAS) score, clinical efficacy, complications and aesthetic satisfaction were compared between the two groups.Results The operation time, postoperative epiphora time and postoperative pus time in the observation group were shorter than those in the control group (P<0.05). The VAS score of the two groups on the 3rd day after operation were lower than that before operation, and that of the observation group was lower than that of the control group (P<0.05). The total effective rate of treatment in the observation group was 96.88%, which was higher than 87.50% in the control group (P<0.05). The incidence of complications in the observation group was 6.25%, which was lower than 15.63% in the control group (P<0.05). The aesthetic satisfaction of the observation group was 100.00%, which was higher than 87.50% of the control group (P<0.05).Conclusion Minimally invasive surgery under nasal endoscopy is effective in the treatment of acute dacryocystitis, which can improve the treatment efficiency, shorten the operation time, postoperative recovery time, reduce the incidence of complications, reduce pain, and improve aesthetic satisfaction.

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更新日期/Last Update: 1900-01-01