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内镜与外囊鼻术的发展趋势和结果:20年后的多机构分析

Natalia Davila^1,2, Samantha A McLaughlin¹, Tejus Pradeep¹

¹Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, Miami, Florida, U.S.A.

Ophthalmic plastic and reconstructive surgery

|August 27, 2025

概括

在过去的20年中,内透镜乳囊静止术 (EN-DCR) 越来越受欢迎,使用率越来越高. 这种方法的长期成功率和修复率与鼻管阻塞的外部乳腺细胞修复术 (EX-DCR) 相同.

科学领域:

眼科眼科
耳鼻喉科
手术的发展趋势

背景情况:

获得的鼻管阻塞会影响眼排水.
这种情况的手术治疗方法是大囊静脉切除术 (DCR).
存在外部 (EX-DCR) 和内镜 (EN-DCR) 方法.

研究的目的:

分析EN-DCR与EX-DCR使用的20年趋势.
为了比较EN-DCR和EX-DCR之间的长期外科修复率.
评估获得的鼻管阻塞的程序转移.

主要方法:

使用TrinetX网络进行回顾性队列研究.
年度手术量和修复率的分析 (1, 10, 20年).
倾向性得分匹配和结合点回归用于趋势分析.

主要成果:

EX-DCR体积下降 (87. 1% 至 60. 0%),而EN-DCR体积增加 (12. 9% 至 40. 1%).
在2012年后观察到的EN-DCR使用的显著增加.
对EN-DCR和EX-DCR的长期修订率相似 (1年,10年,20年).

结论:

在过去的二十年中,内镜DCR获得了显著的普及.
在长期内,EN-DCR的疗效与EX-DCR相当.
手术趋势有利于获得的鼻管阻塞的EN-DCR.

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