눈물주머니염 유무에 따른 환자군의 특성과 내시경적 눈물주머니코안연결술 후 만족도 비교
Characteristics in Patients with and without Previous Dacryocystitis and Satisfaction after Endonasal Dacryocystorhinostomy
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목적: 눈물주머니염의 유무에 따른 내시경적 눈물주머니코안연결술을 시행 받은 각 환자군의 특성과 수술 후 만족도를 비교해 보고자하였다. 대상과 방법: 2011년 5월부터 2015년 12월까지 동국대학교경주병원에서 코눈물관 폐쇄 진단 아래 본원에서 내시경적 눈물주머니코안연결술을 시행한 환자 116명 156안을 대상으로 술 전 눈물주머니염 증상을 보였던 환자군과 눈물주머니염이 없던 환자군을 대상으로 각 환자군의 특성을 후향적으로 분석하고 수술 후 만족도를 전화 설문을 통해 조사하였다. 결과: 술 전 눈물주머니염 증상을 보였던 환자군은 58명(66안), 눈물주머니염이 없던 환자군은 58명(90안)이었으며 대상 환자의 평균연령은 64.9세였다. 각 환자군에서의 평균 증상기간은 각각 11개월, 20개월로 술 전 눈물주머니염 증상을 보였던 환자군에서 짧은 증상기간을 나타내었다(p<0.05). 동반질환과 눈물주머니염의 발생과의 상관관계는 통계학적으로 유의한 차이를 보이지 않았다(p>0.05). 수술 후 시행한 만족도 설문 결과 술 전 눈물주머니염을 보였던 환자군에서 더 만족하는 결과를 나타내었으며 이는 통계학적으로 유의한 차이를 나타내었다(p<0.05). 결론: 술 전 눈물주머니염 증상을 보였던 환자군에서 증상기간이 짧았으며 수술 후 만족도가 높았다. 따라서 눈물주머니염이 없는 환자의 경우 수술 후 만족도가 눈물주머니염이 있는 환자군에 비해 떨어질 수 있으므로 이 점을 염두에 둘 필요가 있을 것으로 생각된다.
Abstract
Purpose: To compare characteristics in patients with and without previous dacryocystitis and satisfaction after endoscopic dacryocystorhinostomy. Methods: We retrospectively analyzed 156 eyes of 116 patients who underwent endoscopic dacryocystorhinostomy at our Hospital from May 2011 to December 2015. The patients were grouped into those with pre-operative dacryocystitis and those without dacryocystitis. Each patient group was characterized retrospectively, followed by a telephone survey regarding post-operative satisfaction. Results: Fifty-eight patients (66 eyes) had dacryocystitis, whereas 58 patients (90 eyes) did not. Patients' mean age was 64.9 years old. The mean duration of symptoms in patients with and without dacryocystitis was 11 and 20 months, respectively, showing a statistically significant difference (p < 0.05). The correlation between comorbidities and dacryocystitis was statistically insignificant (p > 0.05). Post-operative satisfaction was higher in patients with dacryocystitis, showing a statistically significant difference (p < 0.05). Conclusions: Patients with pre-operative dacryocystitis were characterized by a shorter duration of symptoms and higher post-operative satisfaction. This finding implies that post-operative satisfaction could be lower in patients without dacryocystitis, which should be noted.
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