先前临时鼻泪支架置入术对内镜下泪囊造瘘术的影响。

IF 2.3 3区 医学 Q1 OTORHINOLARYNGOLOGY
Linjuan Wu, Xinyu Li, Guangming Zhou, Wencan Wu, Wentao Yan, Bo Yu
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引用次数: 0

摘要

目的:我们比较慢性泪囊炎(CD)患者的内镜下泪囊鼻腔造口术(En-DCR)的结果,是否有或没有先前的临时鼻泪支架植入术(TNLSI),然后探讨之前的TNLSI是否影响术后结果。方法本回顾性研究包括2019年9月至2022年5月期间连续接受En-DCR的CD和既往TNLSI患者(A组),以及年龄和性别匹配的未接受过植入的CD患者对照组(B组)。泪囊参数通过计算机断层扫描-泪囊造影术测量,并记录手术结果。术后12个月比较两组手术成功率。结果A组53例,b组106例。A组平均水平、矢状、垂直长度分别为4.94±1.30 mm、4.88±1.17 mm、7.85±2.03 mm;B组3种长度分别为6.16±1.25 mm、5.97±1.20 mm和10.00±2.18 mm。A组3个参数均明显小于b组。A组患者囊内均有瘢痕形成;术后12个月,A组解剖和功能成功率分别为75.47%(40/53)和71.70% (39/53);B组的成功率分别为93.40%(99/106)和91.51% (97/106),B组的成功率明显高于a组。结论既往TNLSI可降低泪囊参数,导致瘢痕形成,从而降低En-DCR术后成功的可能性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Effect of Previous Temporary Nasolacrimal Stent Implantation on Endoscopic Dacryocystostomy.

AimsWe compared the outcomes of endoscopic dacryocystorhinostomy (En-DCR) in patients with chronic dacryocystitis (CD), with or without previous temporary nasolacrimal stent implantation (TNLSI), then explored whether previous TNLSI influenced postoperative outcomes.MethodsThis retrospective study included consecutive patients with CD and previous TNLSI who underwent En-DCR (group A) between September 2019 and May 2022, and an age- and sex-matched control group of patients with CD who had not undergone previous implantation (group B). Lacrimal sac parameters were measured by computed tomography-dacryocystography, and surgical findings were recorded during surgeries. The surgical success rates were compared between the two groups at 12 months after surgery.ResultsThere were 53 patients in group A and 106 patients in group B. In group A, the mean horizontal, sagittal, and vertical lengths were 4.94 ± 1.30 mm, 4.88 ± 1.17 mm, and 7.85 ± 2.03 mm; in group B, these three lengths were 6.16 ± 1.25 mm, 5.97 ± 1.20 mm, and 10.00 ± 2.18 mm, respectively. All three parameters were significantly smaller in group A than in group B. Scar formation in the sac was observed in all patients in group A; it was not present in group B. At 12 months after surgery, the anatomical and functional success rates were 75.47% (40/53) and 71.70% (39/53), respectively, in group A; they were 93.40% (99/106) and 91.51% (97/106) in group B. The success rates were significantly higher in group B than in group A.ConclusionPrevious TNLSI may reduce lacrimal sac parameters and cause scar formation, thereby reducing the likelihood of success after En-DCR.

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来源期刊
CiteScore
5.60
自引率
11.50%
发文量
82
审稿时长
4-8 weeks
期刊介绍: The American Journal of Rhinology & Allergy is a peer-reviewed, scientific publication committed to expanding knowledge and publishing the best clinical and basic research within the fields of Rhinology & Allergy. Its focus is to publish information which contributes to improved quality of care for patients with nasal and sinus disorders. Its primary readership consists of otolaryngologists, allergists, and plastic surgeons. Published material includes peer-reviewed original research, clinical trials, and review articles.
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