鼻内視鏡下涙嚢鼻腔吻合術症例の検討―手術手技の工夫と成功率の比較―

• 谷 鉄兵

  滋賀医科大学附属病院耳鼻咽喉科

• 大脇 成広

  公立甲賀病院耳鼻咽喉科

• 三宅 太一郎

  滋賀医科大学附属病院眼科

• 三田 実千代

  公立甲賀病院眼科

• 糟谷 憲邦

  蘇生会総合病院耳鼻咽喉科

• 花田 誠

  野洲病院耳鼻咽喉科

• 清水 猛史

  滋賀医科大学附属病院耳鼻咽喉科

書誌事項

タイトル別名

• Clinical Study of Endoscopic Endonasal Dacryocystorhinostomy
• リンショウ ハナ ナイシキョウ カ ルイノウ ビクウ フンゴウジュツ ショウレイ ノ ケントウ シュジュツ シュギ ノ クフウ ト セイコウリツ ノ ヒカク
• 手術手技の工夫と成功率の比較

抄録

Nasolacrimal duct obstruction is normally treated with extranasal dacryocystorhinostomy, but nasal endoscopic dacryocystorhinostomy has recently become more common due to the development of nasal endoscopy. The subjects of the study were 23 patients who underwent nasal endoscopic dacryocystorhinostomy between December 2001 and July 2005 at Kohka Public Hospital, and who were followed for 6 months or longer. The presence or absence of lacrimal canaliculus obstruction was examined in a lacrimal probe test before surgery, and lacrimal contrast XP and CT were performed. During surgery, a Nunchakutype silicon tube was indwelled usually. The silicon tube was removed 3 months after surgery, and the success of the surgery was evaluated based on the improvement of subjective symptoms. The success rate was 88%, but obstruction recurred in 3 patients. Nasal endoscopic dacryocystorhinostomy was repeated in all recurrent cases, and obstruction recurred again in 1 patient. Pus was retained in the lacrimal sac in the recurrent cases, suggesting the involvement of infection.

収録刊行物

• 耳鼻咽喉科臨床

  耳鼻咽喉科臨床 99 (11), 935-939, 2006

  耳鼻咽喉科臨床学会

キーワード

• endoscopic
• dacryocystorhinostomy
• nasolacrimal duct obstruction

詳細情報

• CRID: 1390282679240640000
• NII論文ID: 10018304648
• NII書誌ID: AN00107089
• DOI: 10.5631/jibirin.99.935
• ISSN: 18844545
• ISSN: 00326313
• NDL書誌ID: 8557845
• Web Site: https://ndlsearch.ndl.go.jp/books/R000000004-I8557845
• Web Site: https://search.jamas.or.jp/link/ui/2007077571
• 本文言語コード: ja
• データソース種別:
  • JaLC
  • NDL
  • Crossref
  • CiNii Articles
• 抄録ライセンスフラグ: 使用不可