摘要
目的观察硬膜外导管植入术治疗泪小管和泪总管阻塞的近期及远期疗效,评价其临床应用价值。方法对105例(108眼)泪道阻塞行硬膜外导管植入术,经顺行扩张下泪点后泪道探针探通泪道,拔出探针。植入带有5号长针头的硬膜外导管,冲洗通畅,退出5号长针头,导管内冲洗通畅,以输液皮管固定导管。部分患者手术前后曾行泪道造影。结果108眼中成功植入硬膜外导管100眼,手术成功率92.59%。结论硬膜外导管植入术不改变局部解剖结构,安全有效。
Objective To evaluate the clinical application of epidural catheter intubation for the treatment of lacrimal obstruction. Methods 105 patients （ 108 eyes） with lacrimal obstruction undergwent epidural catheter intubation. After punctal dilation and probing, the epidural catheter along with 5 gauge long needle was intubated. Irrigation was performed to confirm patency before and after the long needle. The catheter was secured by a modified infusion tube. Some patients we.re selected to perform imaging of the lacrimal system. Results Of the 108 eyes, 100 eyes were finally intubated with epidural catheter, the success rate was 92.6% and the effective rate was 96.3%. Complications included intraoperative bleeding and postoperative obstruction or dislocation of the catheter. Conclusion Epidural catheter intubation is a simple, safe and promising for treatment of lacrimal obstruction without alteration the local anatomy.
出处
《眼外伤职业眼病杂志》
北大核心
2006年第2期130-131,共2页
Journal of Injuries and Occupational Diseases of the Eye with Ophthalmic Surgeries
