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目的 探讨泪囊脓肿的形成原因及合理的治疗方案。方法 回顾分析 1995年以来我院 39例泪囊脓肿患者的病史资料 :A组 18例行单纯鼻腔泪囊吻合术 ;B组 2 1例早期探通泪小管引流 ,行鼻腔泪囊吻合术加泪道置管。结果 A组病例中 ,泪囊摘除 3例 ( 16.67% ) ;无溢泪、冲洗通畅者 10例 ,占 55.56% ;有溢泪、加压冲洗通畅者 4例 ,占 2 2 .2 2 % ;有溢泪、冲洗不通者 4例 ,占 2 2 .2 2 %。B组无 1例泪囊摘除者 ;无溢泪、冲洗通畅者 19例 ,占 90 .4 8% ;有溢泪、加压冲洗通畅者 1例 ,占 4 .76% ;有溢泪、冲洗不通者 1例 ,占 4 .76%。结论 早期探通泪小管引流有助于防止脓肿破溃及瘘管形成 ,减少泪囊摘除并发症发生 ;鼻腔泪囊吻合术加泪道置管是治疗泪囊脓肿合理的手术方式
Objective To investigate the formation of lacrimal sac abscess and reasonable treatment. Methods The data of 39 cases of lacrimal sac abscess in our hospital since 1995 were retrospectively analyzed. A group of 18 cases were treated with simple nasal dacryocystorhinostomy. In group B, 21 cases of early tracheal canal drainage, nasal dacryocystorhinostomy plus tear Road pipe. Results In group A, 3 cases (16.67%) had enucleation of the lacrimal sac; 10 cases (57.56%) had no overflow of tears and flushing, 4 cases (22.22% There are tears, flush unreasonable in 4 cases, accounting for 22.22%. There was no case of lacrimal sac in group B, 19 cases of unpleasant tears and irrigated patency, accounting for 90.48%. There were 1 case of overflowing tears and pressure flushing, accounting for 4.76% One case of unreasonable, accounting for 4.76%. Conclusion Early detection of drainage of canalicular drainage can help prevent abscess rupture and fistula formation and reduce the complications of lacrimal sac removal; nasal dacryocystorhinostomy plus lacrimal duct drainage is a reasonable surgical treatment of lacrimal sac abscess