目的 观察鼻腔泪囊吻合术联合新型硅胶管和丝裂霉素C治疗鼻泪管阻塞的临床疗效.方法 60眼慢性鼻泪管阻塞,采用泪囊鼻腔吻合术联合新型硅胶管,随机抽取30眼术中使用丝裂霉素C,对照组30眼未使用丝裂霉素C.结果 术后随访3～12个月.丝裂霉素组有效率为93.3％；对照组有效率为70.0％,差异有显著性(P＜0.05).结论 鼻腔泪囊吻合术联合新型硅胶管加丝裂霉素C治疗鼻泪管阻塞操作安全、创伤小、疗效好,容易掌握和推广.%Objective To observe the clinical efficacy of dacryocystorhinostomy combined with novel silica gel tube and mitomycin C in the treatment for nasolacrimal duct obstruction.Methods 60 eyes with chronic nasal obstruction were performed dacryocystorhinostomy combined with novel silica gel,combined with nasolacrimal intubation and mitomycin C,a random sample of 30 eyes used mitomycin C,other 30 eyes in the control group did not use mitomycin C.Results The postoperative follow up ranged from 3 to 12 months.For the 30 eyes using mitomycin C,the cure rate was 93.3％,while the cure rate in 30 eyes in the control group was 70.0％,the difference was statistically significant(P＜ 0.05).Conclusion Dacryocystorhinostomy combined with novel silica gel tube and mitomycin C in the treatment for nasolacrimal duct obstruction is safe,with small trauma and good effect,and easy to be mastered and to have promotion.
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