Objective To explore the clinical effect of dacryocystorhinostomy under nasal endoscope combined with ex-pansive sponge as packing material on treating chronic dacryocystitis. Methods From January 2014 to April 2015,60 patients with chronic dacryocystitis admitted into our hospital were evenly divided into group A (traditional external dacryocystorhinostomy) and group B (dacryocystorhinostomy under nasal endoscope combined with expansive sponge as packing material) by a random number table.The therapeutic effect and hemostatic and analgesic effect by two kinds of packing material between two groups were compared. Results The total effective rate was 63.3% in group A,while in group B,the rate was 93.3%(P<0.05).In group B,83.3% of the patients whose amount of bleeding was less than 20 ml, which was more than that in group A (P<0.05).The number of patients whose amount of bleeding between 50 ml to 80 ml in group A was less than that in group A.On filling in or withdrawing out of packing materials in group B,the pain de-grees was (2.06±0.26) points and (2.28±0.23) points respectively,while group A,it was (6.15±0.55) points and (6.65±0.56) points respectively.Pain degrees in group B was milder than in group A (P<0.05). Conclusion Dacryocystorhinostomy under nasal endoscope combined with expansive sponge as packing material on treating chronic dacryocystitis has ad-vantages of small wound,little amount of bleeding,and definite effect.%目的：探讨经鼻内镜行泪囊鼻腔吻合术结合膨胀海绵填塞治疗慢性泪囊炎的临床效果。方法将我院2014年1月~2015年4月收治的60例慢性泪囊炎患者按随机数字表法分为A组(传统外路泪囊鼻腔吻合术)和B组(经鼻内镜下行泪囊鼻腔吻合术+膨胀海绵填塞),各30例。比较两组疗效及两种填塞材料的止血、止痛效果。结果 A组总有效率为63.3豫,B组总有效率为93.3豫,两组比较差异有统计学意义(P<0.05)；B组有83.3豫患者可将出血量控制在20 ml以下,例数明显多于A组(P<0.05),且出血量在50~80 ml的例数少于A组；B组患者填塞材料放入、取出时,疼痛程度VAS评分分别为(2.06±0.26)、(2.28±0.23)分,A组分别为(6.15±0.55)、(6.65±0.56)分,B组的疼痛程度轻于A组(P<0.05)。结论经鼻内镜行泪囊鼻腔吻合术结合膨胀海绵填塞治疗慢性泪囊炎创伤小、出血量少,疗效确切。
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