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泪囊鼻腔吻合术并发症临床分析

Clinical analysis on complications of dacryocystorhinostomy

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【作者】 杨敬昌李守明吴钦星朱风云卞彩玲薛莉

【Author】 YANG Jing-Chang,LI Shou-Ming,WU Qin-Xing ZHU Feng-Yun,BIAN Cai-Ling,XUE Li From the Department of Ophthahnology, the Eye Hospital of Taian Central Hospital, Taian 271000, Shandong Province , China

【机构】 泰安市中心医院眼科医院泰安市中心医院眼科医院 山东泰安271000山东泰安271000

【摘要】 目的 探讨和分析泪囊鼻腔吻合手术并发症发生的原因及防治措施。方法 对163例患者术中、术后并发症进行观察和分析。结果 术中出血69例(42.33%),术中鼻粘膜损伤9例(5.52%),术后出血5例(3.07%),术后吻合口再阻塞11例(6.75%)。结论 术中出血和术后吻合口再阻塞是常见并发症,鼻内窥镜修复是处理术后吻合口再阻塞的有效方法。

【Abstract】 Objective To explore the causes and the preventions of the complications in dacryocystorhinostomy ( DCR ). Methods Clinical observation and analysis were carried out on the main complications of DCR in 163 cases. Results Hemorrhage was found in 69 cases (42. 33%) and damage of nasal mucosa in 9 eases(5. 52%) druing operation. postoperative hemorrhage in 5 cases (3. 07%), rcobstruction of anastomotic lacrimal passage after DCR in 11 cases(6. 75 %). Conclusion Hemorrhage and reobstruction of anastomotic lacrimal passage were the main complications,prosthetics under nasal endoscope is an effective method in the treatment of reobstruction of anastomotic lacrimal passage.

【关键词】 泪囊鼻腔吻合术并发症
【Key words】 dacryocystorhinostomycomplication
  • 【文献出处】 眼科新进展 ,Recent Advances In Ophthalmology , 编辑部邮箱 ,2003年04期
  • 【分类号】R779.6
  • 【被引频次】12
  • 【下载频次】32
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