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題 名 | 延緩性初次淚囊鼻腔吻合術治療淚囊膿瘍之經驗=Delayed Primary Dacryocystorhinostomy for the Management of the Lacrimal SAC Abscess |
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作 者 | 黃致遠; 廖述朗; 曾效參; 高啟祥; 侯平康; | 書刊名 | 中華民國眼科醫學會雜誌 |
卷 期 | 35:2 1996.06[民85.06] |
頁 次 | 頁1-6 |
分類號 | 416.753 |
關鍵詞 | 延緩性初次淚囊鼻腔吻合術; 淚囊膿瘍; Acute dacryocystitis; Lacrimal sac abscess; Delayed primary dacryocystorhinostomy; |
語 文 | 中文(Chinese) |
中文摘要 | 自民國八十二年七月到八十四年七月間,我們收集了5位淚囊膿瘍 (lacrimal sac abscess)病患,予以施行膿瘍切開併引流,之後每天用優碘紗布換藥 及靜脈抗生素注射,直到引流處不再有膿液流出時(約引流後4~10天),我們直接 從尚未癒合的切開傷口進入進行淚囊鼻腔吻合術(dacryocystorhinostomy,簡寫為 DCR)。5位病人接受這方法皆獲得相當好的療效。 因為從尚未癒合之膿瘍切開傷口直接進入進行淚囊鼻腔吻合術,而非等到膿瘍切 口痊癒後再行手術,故命名為延緩性初次淚囊鼻腔吻合術(delayed primary dacryocystorhinostomy)。在我們有限的經驗中,這個方法對全身性抗生素反應不 好的淚囊膿瘍病人效果很好,而且避免了傳統做法要等待引流處完全痊癒後再施 行淚囊鼻腔吻合術的曠日廢時,同時也防止等待過程中淚囊炎可能復發及結疤組 織妨礙吻合術進行等問題。對於急性淚囊膿瘍的處理,應該是個不錯的方法。 |
英文摘要 | Purpose: Acute dacryocystitis with localizedpreseptal orbital cellulitis is not uncommon jn ageneral ophthalmic practice. It usually responds wellto oral antibiotics. However, it may be difficult tocontrol even with parental antibiotic therapy in somecases with lacrimal sac abscesses. We tried to definethe role of delayed primary dacryocystorhinostomy(DCR) in the treatment of these cases. Method: Five cases of lacrimal sac abscess withpoor response to systemic antibiotics were collectedin our practice. Incision and drainage of the infectedsac and iodoform dressing everyday were done. Delayed primary dacryocystorhinostomy wereperformed in Five patients soon after the infection wasundercontrol (ranging from 4 to 10 days after incisionand drainage). Results: All five patients received the operationwere successfully treated without any unusualintraoperative or postoperative complications. Conclusions: In our experience, delayed primaryDCR seems to be an ideal method for the treatmentof acute dacryocystitis with lacrimal sac abscess whensystemic antibiotics is in vain. |
本系統中英文摘要資訊取自各篇刊載內容。