Primary pediatric endonasal dacryocystorhinostomy-A review of 58 procedures
Primary pediatric endonasal dacryocystorhinostomy-A review of 58 procedures
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DOI：
10.1016/j.ijporl.2010.03.015
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发表时间：
2010-06-01
影响因子：
1.5
通讯作者：
Zelenik, Karol
中科院分区：
文献类型：
--
作者：
Kominek, Pavel;Cervenka, Stanislav;Zelenik, Karol
目的：本研究的目的是报告患有泪道阻塞的儿童患者接受初次内窥镜泪囊鼻腔吻合术（EDCR）的结局。研究设计：作者进行了回顾性非比较casesseries.Methods：手术和术后的数据收集了58名儿童，年龄在3个月至13岁（平均4.1岁）。共有58例原发性EDCR由两名外科医生使用标准化手术技术进行。EDCR检查单眼52次，双眼6次（同时3次，分坐3次，间隔4-6个月）。结果：随访时间12 ~ 36个月，平均17个月，中位15个月。在所有58例EDCR中，成功率为51/58（87.9%）。成功率：囊后梗阻组47/51（92.2%），囊后和囊上梗阻组3/5（60.0%），囊前梗阻组1/2（50.0%）。所有8名1岁以下儿童（100%）和15名1至2岁儿童中的14名（93.3%）手术成功。54例EDCRs.Conclusions：内窥镜DCR是一种安全有效的手术，对于大多数儿童来说，成功率与外部OCR和成人相当。囊后阻塞的成功率明显高于囊前阻塞或囊前和囊后阻塞的联合阻塞。(C)2010爱思唯尔爱尔兰有限公司版权所有。
Objectives: The objectives of this study are to report the outcomes of pediatric patients with lacrimal system obstruction who underwent primary endoscopic dacryocystorhinostomy (EDCR). Study design: The authors conducted a retrospective noncomparative case series.Methods: The operative and postoperative data have been collected in 58 children aged between 3 months and 13 years (mean 4.1 years). The total of 58 primary EDCRs has been performed by two surgeons using a standardized surgical technique. The EDCRs were performed 52 times on one eye, 6 times on both eyes (3 times simultaneously, 3 times at the separate sitting with an interval of 4-6 months). The follow-up evaluations include taking history, clinical examinations including a fluorescein disappearance test.Results: The follow-up interval ranged from 12 to 36 months (mean 17 months, median 15 months). The success rate was 51/58 (87.9%) in all 58 EDCRs. The success rate was 47/51 (92.2%) in the group of postsaccal obstructions, 3/5 (60.0%) in the group of postsaccal and suprasaccal obstrutions and 1/2 (50.0%) in presaccal obstructions. The procedures were successful in all eight children aged under 1 year old (100%) and in 14 of 15 children between 1 and 2 years old (93.3%). The silicone intubation was used in 54 EDCRs.Conclusions: The endoscopic DCR is a safe and effective procedure for most children with the success rate comparable to that achieved in the external OCR and in adults. The success rate of the postsaccal obstructions is significantly higher than in presaccal or combined pre- and postsaccal obstructions. (C) 2010 Elsevier Ireland Ltd. All rights reserved.