Shifting to very early endoscopic DCR in acute suppurative dacryocystitis.
Shifting to very early endoscopic DCR in acute suppurative dacryocystitis.
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转移到非常早期的内窥镜DCR中的急性化脓性脱墨囊炎。
DOI：
10.1038/s41433-019-0734-2
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发表时间：
2020-09
期刊：
影响因子：
--
通讯作者：
Banafsheafshan A
中科院分区：
文献类型：
--
作者：
Pakdel F;Soleimani M;Kasaei A;Ameli K;Pirmarzdashti N;Tari AS;Ghasempour M;Banafsheafshan A
我们的目的是展示早期内镜泪囊鼻腔吻合术 (VE-EDCR) 在急性泪囊炎 (AD) 和脓肿形成的常规患者中与标准晚期外部泪囊鼻腔吻合术 L-ExDCR 相比的结果。这是一项于 2013 年 6 月至 2016 年 3 月进行的前瞻性非随机比较研究。患有 AD 和脓肿形成的患者被转诊至我们位于大学医院的眼面部诊所。所有患者均接受全身抗生素治疗并被分配至任一治疗组。第 1 组患者接受了晚期外部经皮 DCR (L-ExDCR)，第 2 组患者在首次就诊后 3 天内接受了 EDCR，称为 VE-EDCR。主要结果指标是手术的成功。 2013 年 6 月至 2016 年 3 月期间，纳入了 41 名急性化脓性 AD 患者的 41 只眼睛。其中 22 名患者接受了 VE-EDCR，19 名患者接受了 L-ExDCR。患者的平均年龄为 43.41（SD = 19.84，范围 14-98）岁。平均随访时间为 14 (SD = 2.4) 个月。 L-ExDCR 和 VE-EDCR 组的解剖、功能和总体成功率分别为（89.5% 和 86.4%，p = 0.99）（89.5% 和 86.4%，p = 0.99）（89.5% 和 81.8%，p = 0.66）。 VE-EDCR 和 L-ExDCR 中蜂窝组织炎的平均持续时间分别为 8.00 (SD = 4.63) 和 16.11 (SD = 11.58) 天 (p = 0.027)。没有发现明显的不良事件。非常早期的鼻内内窥镜 DCR 的成功与传统的晚期外部 DCR 相当。 VE-EDCR 中蜂窝织炎的持续时间较短。急性化脓性泪囊炎患者可以考虑这种治疗方法。
We aimed to show the outcome of very early endoscopic dacryocystorhinostomy (VE-EDCR) in a routine pool of patients with acute dacryocystitis (AD) and abscess formation compared with the standard late external dacryocystorhinostomy L-ExDCR. This was a prospective nonrandomized comparative study conducted from June 2013 to March 2016. Patients with AD and abscess formation were referred to our oculo-facial clinic in a university-based hospital. All patients received systemic antibiotics and were assigned to either of treatment groups. Patients in group 1 underwent late external transcutaneous DCR (L-ExDCR) and group 2 underwent EDCR within 3 days after first visit, named VE-EDCR. Primary outcome measure was success of surgery. Forty-one eyes of 41 patients with acute suppurative AD, were included from June 2013 to March 2016. Twenty-two patients underwent VE-EDCR and 19 underwent L-ExDCR. Mean age of patients was 43.41 (SD = 19.84, range 14–98) years. Mean follow-up was 14 (SD = 2.4) months. Anatomic, functional, and overall success in L-ExDCR and VE-EDCR groups were (89.5 and 86.4%, p = 0.99) (89.5% and 86.4%, p = 0.99) (89.5% and 81.8%, p = 0.66) respectively. Mean duration of cellulitis in VE-EDCR and L-ExDCR were 8.00 (SD = 4.63) and 16.11 (SD = 11.58) days, respectively (p = 0.027). No remarkable adverse event was found. Success of very early endonasal endoscopic DCR is comparable with the traditional late external DCR. Duration of cellulitis is shorter in VE-EDCR. This therapeutic approach can be considered in patients with acute suppurative dacryocystitis.
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影响因子：
1.7
作者：
Ali, Mohammad Javed;Joshi, Surbhi D.;Honavar, Santosh G.
通讯作者：
Honavar, Santosh G.
影响因子：
--
作者：
MASSARO, BM;GONNERING, RS;HARRIS, GJ
通讯作者：
HARRIS, GJ
影响因子：
3.4
作者：
Wormald, PJ;Kew, J;Van Hasselt, A
通讯作者：
Van Hasselt, A
影响因子：
13.7
作者：
Wu, Wencan;Yan, Wentao;Qu, Jia
通讯作者：
Qu, Jia
DOI：
10.1097/iop.0000000000000759
发表时间：
2017-07-01
影响因子：
2
作者：
Jain, Saurabh;Ganguly, Anasua;Rath, Suryasnata
通讯作者：
Rath, Suryasnata