Clinical Trial to Compare Success Rate of Endonasal Dacryocystorhinostomy and External Dacryocystorhinostomy for Treatment of Primary Acquired Nasolacrimal Duct Obstruction.

比较鼻腔泪囊鼻腔吻合术和鼻腔泪囊鼻腔吻合术治疗原发性获得性鼻泪管阻塞成功率的临床试验。

• 发表时间: Oct 2022
• 来源期刊: Indian J Otolaryngol Head Neck Surg
• DOI: 10.1007/s12070-020-02352-4
• PMID: 36452658
• 文章类型: Journal Article
• 作者列表: Khatri MS,Kharaya A

关键词: Dacryocystorhinostomy; Endoscopic; Epiphora; External

Abstract

The purpose of this study is to compare the success rates of endoscopic endonasal dacryocystorhinostomy (EN-DCR) and external DCR (EX-DCR) for the treatment of primary acquired nasolacrimal duct obstruction (PANLDO). Prospective randomized comparative study. Study was conducted for 2 years duration in a teaching hospital with 300 cases of endoscopic and 300 cases of external DCR with a follow-up of minimum 6 months. Data regarding surgical outcome and complications were analyzed and compared using χ2 test. In our study, the overall success rate of DCR for PANLDO was 92.6%, there was difference in terms of anatomical or functional success rate between EN-DCR (93.6%) and EX-DCR (91.6%). The incidence rate of post operative complication in our study was lower in Endonasal DCR (27.33%) as compared to External DCR (48%). Patients who underwent EN-DCR had shorter recovery time, less complications and higher satisfaction due to lack of external incision, although final surgical outcomes were comparable between two groups.

摘要

目的比较鼻内镜经鼻泪囊鼻腔吻合术(EN-DCR)和体外DCR(EX-DCR)治疗原发性获得性鼻泪管阻塞(PANLDO)的成功率。前瞻性随机比较研究。研究在教学医院进行了2年，共进行了300例内镜和300例外部DCR，并进行了至少6个月的随访。使用χ2检验对有关手术结果和并发症的数据进行分析和比较。在我们的研究中,PANLDO的DCR总体成功率为92.6%，EN-DCR(93.6%)和EX-DCR(91.6%)在解剖或功能上的成功率存在差异.在我们的研究中，与外部DCR（48％）相比，鼻内DCR（27.33％）的术后并发症发生率较低。接受EN-DCR的患者恢复时间较短，由于缺乏外部切口，并发症少，满意度高，尽管两组的最终手术结局具有可比性.