丝裂霉素C在鼻腔泪囊造孔术后吻合口闭锁中应用
Application of Mitomycin C in the nasal lacrimal sac pore-forming anastomotic atresia
目的 探讨吻合口再造术联合应用丝裂霉素C治疗鼻腔泪囊造孔术后吻合口闭锁的临床疗效.方法 回顾性分析2009年8月至2013年12月在南昌爱尔眼科医院门诊治疗43例鼻腔泪囊造孔术后吻合口闭锁患者,经吻合口再造术联合应用0.04%丝裂霉素C的临床疗效.结果 随访1~2年,43例行吻合口再造患者,治愈31例,好转8例,无效4例,总有效率为90.7% (39/43).结论 鼻腔泪囊造孔术后吻合口闭锁行吻合口再造术联合应用丝裂霉素C手术方法简单,效果确切,是治疗吻合口闭锁的一种有效方法.
更多Objective To discuss the clinical curative effect of the anastomotic occlusion dacryocystitis after operation treated by combining reconstruction of anastomosis with mitomycin-C application.Methods Retrospective analysis of the anastomotic occlusion of 43 patients suffered from the anastomotic occlusion dacryocystitis after operation whom were treated with reconstruction of anastomosis and cotton sheets with 0.04% mitomycin-C for injection at the outpatient service of our hospital in 2009.Result After 1 to 2 years' follow-up of 43 patients,31 eyes were cured,8 effective,4 invalid and the total effective rate was 90.7%.Conclusions Combining reconstruction of anastomosis with mitomycin-C for injection is an effective way to cure the patients suffered from the anastomotic occlusion dacryocystitis after operation.This method has the advantage of simple operation and the exact treatment outcomes.
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