银夹及PVF医用海绵联合应用于鼻内镜下泪囊鼻腔造孔术
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章松林 zhangsonglinjt@126.com.

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Appliction of silver clip and PVF medical sponge to endoscopic dacryocystorhinostomy
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    摘要:

    目的 探讨鼻内镜下泪囊鼻腔造孔术的改良方法。方法 将181例慢性泪囊炎并行鼻内镜手术治疗的患者随机分成3组。银夹+PVF组(60例):术中用银夹将泪囊黏膜瓣固定于钩突前缘鼻腔黏膜瓣,并以PVF医用海绵支撑泪囊腔。PVF组(62例):术中以PVF医用海绵支撑泪囊腔。银夹组(59例):术中用银夹将泪囊黏膜瓣固定于钩突前缘鼻腔黏膜瓣。结果 ①术后3个月随访,3组治愈率分别为93.94%、82.09%和79.69%。②术后3个月3组患者满意度分别为(82.26±11.00)分、(76.76±10.565)分和(73.78±9.991)分。结论 银夹及PVF医用海绵联合应用,能有效显著提高鼻内镜下泪囊鼻腔造孔术成功率。

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    Objective To study methods to improre the intranasal endoscopic dacryocystorhinostomy. Methods 181 Patients with chronic dacryocystitis, treated with endoscopic dacryocystorhinostomy, were randomly divided into three groups. In the silver clip+PVF group (60 cases), silver clips were used for fixing the mucous membrane flap of lacrimal sac to that of nasal cavity at the leading edge of uncinate process, and PVF medical sponge was used to support the lacrimal sac cavity. In the PVF group (62 patients), PVF medical sponge was used for supporting the lacrimal sac cavity. In the silver clip group (59 cases), silver clips were used to fix the mucous membrane flap of lacrimal sac to that of nasal cavity in front of the uncinate process. Results Three months after operation, the cure rates of the silver clip+PVF group, PVF group and silver clip group were 93.94%, 82.09% and 79.69% respectively. The satisfaction of the patients were (82.26±11.00) points, (76.76±10.565) points and (73.78±9.991 ) points. Conclusion Combined application of silver clip and PVF medical sponge can significantly improve the successful rate of the endoscopic dacryocystorhinostomy.

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刘杰 宋国昶 章松林.银夹及PVF医用海绵联合应用于鼻内镜下泪囊鼻腔造孔术[J].中国耳鼻咽喉颅底外科杂志,2011,17(3):199-203

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  • 在线发布日期: 2011-06-30
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