Clinical Observation on Modified Dacryocystorhinostomy on the Treatment of Elderly Chronic Dacryocystitis
Abstract: Objective: To explore the clinical effect of modified dacryocystorhinostomy (DCR) on the treatment of elderly chronic dacryocystitis patients. Method: 47 cases (47 eyes) of chronic dacryocystitis patients were treated with modified dacryocystorhinostomy; the gelatin sponge was filled with flat after flap, and only the front flap was just sutured during operation. At the same time, the catheter was put in and supported the anastomosis cavity, which was pulled out 7 days after operation, and the cavity was flushed periodically. Result: All of the lacrimal ducts were unobstructed after withdrawal of the catheter; the total effectiveness was 100%. During 2-year follow-up, the total effectiveness was 100%. Conclusion: The operation time of modified dacryocystorhinostomy on the treatment of elderly chronic dacryocystitis is short; it has a high operation success rate, and it is safe and feasible.
文章引用: 唐勇华 , 韦丽娇 , 何昭华 , 钟 茜 (2014) 改良泪囊鼻腔吻合术治疗高龄慢性泪囊炎的疗效观察。 眼科学， 3， 19-22. doi: 10.12677/HJO.2014.33004
 李凤鸣 (1996) 眼科全书. 人民卫生出版社, 北京, 1083-1085.
 赵堪兴, 杨培增 (2009) 眼科学. 人民卫生出版社, 北京, 72-73.
 孙传兴 (1998) 临床疾病诊断依据治愈好转标准. 第2版, 人民军医出版社, 北京, 556-557.
 雷方 (2004) 泪囊鼻腔吻合术的体会——Toti手术百年纪念. 眼外伤职业眼病杂志, 7, 450-451.
 谢祥勇, 唐勇华 (2012) 改良泪囊鼻腔吻合术联合泪道置管治疗慢性泪囊炎的疗效观察. 微创医学, 4, 415-416.
 王轶, 罗秀, 魏莲枝 (2010) 鼻内镜下鼻腔泪囊造孔术治疗老年慢性泪囊炎. 中国内镜杂志, 16, 1080-1085.