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首页> 外文期刊>Canadian journal of ophthalmology >Four-year experience with intranasal transilluminating dacryocystorhinostomy using ultrasound.
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Four-year experience with intranasal transilluminating dacryocystorhinostomy using ultrasound.

机译：使用超声鼻腔镜行泪囊鼻腔吻合术的四年经验。

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BACKGROUND: The aim of this study was to investigate the results obtained by intranasal dacryocystorhinostomy. METHODS: This was a prospective, non-randomised, non-comparative case series study of 150 patients with epiphora due to nasolacrimal duct obstruction. The same team of ophthalmic and otorhinologic surgeons performed the transilluminating intranasal dacryocystorhinostomy using ultrasound. The main outcome measures were subjective improvement of epiphora, dye testing, lacrimal probing, lacrimal irrigation, and endoscopic nasal examination. RESULTS: Symptomatic relief and patency of the lacrimal apparatus was achieved in 92% (138) of the patients at the 3-month follow-up and 89% (134) at the 6-month follow-up. At 1 year, only 2 patients of the 134 initial successes showed obstruction of the nasolacrimal duct. All 16 successful patients that we have followed for 4 years have sustained their improvement. INTERPRETATION: Transilluminating intranasal dacryocystorhinostomy is a quick and safe option for the treatment of nasolacrimal duct obstruction. The main advantages over external dacryocystorhinostomy are avoidance of skin incision, reduced haemorrhage, shorter duration of the operation, and quicker recovery of the patient.
机译：背景：这项研究的目的是调查鼻腔泪囊鼻腔吻合术获得的结果。方法：这是一项前瞻性，非随机，非对照的病例系列研究，对150例因鼻泪管阻塞引起的癫痫患者进行了研究。相同的眼科和耳科外科医生团队使用超声对鼻腔内泪囊鼻腔吻合术进行了透照。主要结果指标是主观改善泪溢，染色测试，泪道探查，泪道冲洗和内窥镜鼻腔检查。结果：在3个月的随访中，有92％（138）的患者实现了泪器的症状缓解和通畅，在6个月的随访中，达到了89％（134）的患者。在1年的134例成功病例中，只有2例显示鼻泪管阻塞。我们追踪了4年的所有16名成功患者均获得了改善。解释：鼻内泪囊鼻腔吻合术是一种快速安全的鼻泪管阻塞治疗方法。与外部泪囊鼻腔吻合术相比，其主要优点是避免了皮肤切口，减少了出血，缩短了手术时间并加快了患者康复的速度。

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