目的:比较鼻泪管支架植入和泪囊鼻腔吻合术治疗慢性化脓性泪囊炎的临床疗效。方法:选择本院2008-02/2010-02就诊的慢性泪囊炎患者44例,分两组,A组:22例做鼻泪管支架植入术;B组:22例行泪囊鼻腔吻合术。分别比较术中和术后的并发症和疗效,有效评估为患眼流泪症状改善,泪道冲洗通畅,随访3～6mo。结果:鼻泪管支架植入手术成功率为91%,术后有效率为86%;泪囊鼻腔吻合手术成功率为100%,术后有效率为82%。结论:鼻泪管支架植入相比于泪囊鼻腔吻合术,术后有效率高,但是手术成功率较低。

·AIM:To compare the effect of nasolacrimal duct stent placement and dacryocystorhinostomy for chronic dacryocystitis.METHODS:From February 2008 to February 2010,44 patients with chronic dacryocystitis were examined in our hospital.All paitients were divided into two groups,group A(22 cases)was treated with nasolacrimal duct stent placement;group B(22 cases)received dacryocystorhin-ostomy.The intraoperative and postoperative complications and treatment effects were compared.Follow-up period was from 3 to 6 months postoperatively.The effective evaluation was improvement of epiphora and unobstructed irrigation of lacrimal passage.RESULTS:The postoperatively successful rate of nasolacrimal duct stent placement was 91%,the effective rate was 86%;The postoperatively successful rate of dacryocystorhinostomy was 100%,the effective rate was 82%.CONCLUSION:Nasolacrimal duct stent placement has higher postoperatively effective rate and lower postoperatively successful rate.

R779.6