Primary Treatment of Acute Dacryocystitis by Endoscopic Dacryocystorhinostomy with Silicone Intubation Guided by a Soft Probe
Primary Treatment of Acute Dacryocystitis by Endoscopic Dacryocystorhinostomy with Silicone Intubation Guided by a Soft Probe
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DOI：
10.1016/j.ophtha.2008.09.041
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发表时间：
2009-01-01
期刊：
影响因子：
13.7
通讯作者：
Qu, Jia
中科院分区：
文献类型：
--
作者：
Wu, Wencan;Yan, Wentao;Qu, Jia
目的：探讨软探头引导下冷钢鼻内窥镜下硅胶管双管环形插管泪囊鼻腔吻合术(EES-DCR)治疗急性化脓性泪囊炎的可行性。设计：前瞻性、随机、干预性病例系列。研究对象：72例患者，女性59例，男性13例，年龄28~71岁，平均55~12岁。泪道脓肿形成后行冷钢EES-DCR，急性炎症消退1~2周后行泪囊鼻腔外吻合术。两组均在软探头引导下进行CBIST，硅胶管在泪道内放置3个月。术后随访12~24个月。结果：EES-DCR组40例和E-DCR组32例患者均获得完整的术后资料，比较两组患者的治疗效果。EES-DCR组急性炎症消退快于E-DCR组(P
Purpose: To investigate the suitability of cold steel endonasal endoscopic dacryocystorhinostomy (EES-DCR) with circular bicanalicular intubation with silicone tubes (CBIST) guided by a soft probe for the primary treatment of acute purulent dacryocystitis (APD).Design: Prospective, randomized, interventional case series.Participants: Seventy-two patients (59 females, 13 males) with a median presenting age of 55- 12 years (range, 28-71 years).Methods: Eighty-four patients with unilateral APD were equally and randomly divided into 2 groups. Cold steel EES-DCR was performed after the lacrimal abscess formation, and external dacryocystorhinostomy (E-DCR) was performed 1 to 2 weeks after resolution of the acute inflammation. In both groups, CBIST guided by a soft probe was performed and the silicone tubes were kept in the lacrimal passages for 3 months. Postoperative follow-up ranged from 12 to 24 months. Outcomes were compared between both groups, considering resolution time for external acute inflammation, success rate of free lacrimal passage reconstruction, and lack of complications as indicators of treatment suitability.Main Outcome Measures: Time for resolution of the external acute inflammation, success rate of free lacrimal passage reconstruction, and complications.Results: In this study, complete postoperative data were acquired from 40 patients in the EES-DCR group and from 32 patients in the E-DCR group, and the outcomes were compared. Acute inflammation resolved more quickly in the EES-DCR group than in the E-DCR group (P