Clinical research on modified endoscopic dacryocystorhinostomy for chronic dacryocystitis / 国际眼科杂志(Guoji Yanke Zazhi)
International Eye Science
; (12): 359-361, 2017.
Article
de Zh
| WPRIM
| ID: wpr-731493
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ABSTRACT
@#AIM: To observe the clinical effects of modified endoscopic dacryocystorhinostomy(EDCR)for chronic dacryocystitis and try to find out an effective adjuvant method to improve the long-term effect of the modified surgery.<p>METHODS: Totally 136 cases(158 eyes)of chronic dacryocystitis were enrolled in the study and randomly divided into two groups:treatment group(80 eyes)and control group(78 eyes).The treatment group underwent the modified EDCR(intraoperative mytomycin C combined with silicone tube implatation and the use of tobramycin and dexamethasone eye ointment).The control group was only applyed mytomycin C during EDCR.The postoperative follow-up period was for 3-12mo.<p>RESULTS: At 6mo postoperatively,the cure rate and total effective rate of the treatment group were 95.0%, 98.8% respectively,and the control group of it were 75.6%, 93.6%.The effective rate of the treatment group was higher than that of the control group significantly(<i>χ</i><sup>2</sup>=11.90,<i>P</i><0.05).<p>CONCLUSION: The modified EDCR is a new surgical method which can prevent postoperative cicatricial adhesion and elevate surgical effective rate, and it has clear field, minimal invasion, quick recovery, exact effect and less recurrence.
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WPRIM
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Zh
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International Eye Science
Année:
2017
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Article