淚囊鼻腔吻合術（第二報）

Dacryocystorhinostomy: A Summary of 134 Consecutive Cases in the Past 10 Years

許紋銘(Wen-Ming Hsu) ； 劉榮宏(Jorn-Hon Liu)

《中華民國眼科醫學會會刊》 23卷 (1984/05) Pp. 292-294

https://doi.org/10.30048/ACTASOS.198405.0048

摘要

著者於10年間（l973年7月至1983年10月）對112名慢性淚囊炎患者，134患例，施行淚囊鼻腔吻合術160次手術（其中25側例施行2次手術，3側例為3次手術）。採用「插管式淚囊鼻腔吻合術」106例（123次手術），90例成功（成功率85%）。採用「插管式併用黏膜前葉縫合術」34例（37次手術），32例(94%)成功。手術失敗（28側例）之原因以吻合道未形成最多見（17例），吻合道形成後再堵塞（7例）次之，淚小管阻塞（4例）又次之。

並列摘要

134 chronic dacryocystitis in 112 patients were operated on with dacryocystorhinostomy procedure from July 1973 to October 1983. 107 cases were operated once, 22 cases twice and 3 cases three times, with a total of 160 operations performed.
Intubation dacryocystorhinostomy technique (of Iliff) was used in 106 cases (123 procedures), success was obtained in 90 cases (85%). Intubation technique with anterior mucosal flap suture (with or without combined canalicular silicone intubation) was used in 34 cases (37 procedures), success was obtained in 32 cases (94%).
In 28 reoperated cases, the causes of failure were found to be due to failure to create mucosal anastomosis in 17 cases, obstruction of mucosal anastomosis by granulation tissue or collapse of anastomosis by proliferative bony tissue in 7 cases, and postoperative canalicular obstruction in 4 cases.

並列關鍵字

chronic dacryocystitis ； intubation dacryocystorhinostomy ； anterior flap suture ； canalicular intubation ； causes of failure