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发表评论 应用鼻内球囊泪道成型术治疗鼻腔泪囊吻合术后复发首例效果
- 作者: At’kova E.1, Krakhovetskiy N.1, Zhukov O.1
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隶属关系:
- Federal State Budgetary Institution of Science “Research Institute of Eye Diseases”
- 期: 卷 13, 编号 3 (2020)
- 页面: 81-86
- 栏目: In ophthalmology practitioners
- URL: https://journals.rcsi.science/ov/article/view/34176
- DOI: https://doi.org/10.17816/OV34176
- ID: 34176
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详细
引言. 在鼻腔泪囊吻合术后复发泪囊炎的情况下，需要进行二次手术。近年来，出现一些关于应用鼻内球囊泪道成型术（球囊直径为6mm）治疗泪囊炎复发的论著。
研究目的. 应用鼻内球囊泪道成型术治疗鼻腔泪囊吻合术后泪囊炎复发的评估。
材料和方法. 该项研究中包括1到3年前因泪囊炎接受了鼻内镜下鼻腔泪囊吻合术的6例患者。对所有患者进行了一下检查：根据Munk法分级评估了溢泪程度，通过光学相干断层扫描评估了泪河高度，荧光素试验，泪道冲洗试验，泪道水平探测，鼻腔内窥镜检查，多层螺旋CT泪道造影。所有患者均通过6mm直径球囊进行了鼻内球囊泪道成型术。术后患者观察期为6个月。
结果. 观察发现有4例患者“康复”，1例患者得到改善，1例患者泪囊造口疤痕愈合。
结论. 从6例患者行鼻内球囊泪道成型术获得的初步结果显示，该方法可用于治疗鼻腔泪囊吻合术后泪囊炎复发的患者。通过继续研究，如增加临床观察数量以使所得结果进行充分的统计学处理、延长患者术后观察期、拓展手术适应症及研究其他能改善鼻内球囊泪道成型术有效性的措施等研究后，这种方法的应用前景还是可以得到解决的。
作者简介
Eugeniya At’kova
Federal State Budgetary Institution of Science “Research Institute of Eye Diseases”
Email: evg.atkova@mail.ru
ORCID iD: 0000-0001-9875-6217
SPIN 代码: 1186-4060
MD, Doctor of Medical Science, Head of the Department of Pathology of the Lacrimal Apparatus
俄罗斯联邦, MoscowNikolay Krakhovetskiy
Federal State Budgetary Institution of Science “Research Institute of Eye Diseases”
Email: n.krahovetskiy@niigb.ru
ORCID iD: 0000-0002-3247-8418
SPIN 代码: 8112-2018
MD, PhD, Assistant Professor, Department of Pathology of the Lacrimal Apparatus
俄罗斯联邦, MoscowOleg Zhukov
Federal State Budgetary Institution of Science “Research Institute of Eye Diseases”
编辑信件的主要联系方式.
Email: Sparrowhawk92@mail.ru
ORCID iD: 0000-0002-2338-9085
SPIN 代码: 1707-3150
Graduate Student, Department of Pathology of the Lacrimal Apparatus
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