摘要
目的探讨泪道阻塞个性化综合治疗的临床疗效。方法临床收集165例(185只眼)泪道阻塞患者。根据病史、泪道冲洗、结合泪囊造影明确阻塞部位和程度。采用以泪囊鼻腔吻合术、KTP术、KTP+微孔支架植入术、泪道扩张术为主,辅以抗炎抗粘药物冲洗治疗。随访3—12个月。结果用本方法治疗的185只眼中,148只眼(80%)治愈;28只眼(15%)有效;9只眼(5%)无效。总治愈率95%。结论泪道阻塞应根据病情选择适当的个性化综合性治疗方法,不仅提高了泪道阻塞的治愈率,而且提高了难治性泪道阻塞的疗效。
Objective To investigate the clinical effects of compesitive and individuated Methods treating obstruction of lacrimal passage. Methods 165 cases ( 185 eyes) with lacrimal obstruction were collected. The obstructed position and degree were found by the record, irrigation of lacrimal passage and dacryocystography. Based on the dacryocystorhinostomy, KTP, KTP + putting silicone tube into lacrimal passage, lacrimal passage dilatation combined with the help of medicine irrigation. Follow-up by 3-12 months. Results 165 of 185 eyes (80%) were recovered. 28 of 185 eyes (15%) were effective, 9 of 185 (5%) were ineffective. The total cure rate of the therapy was 95%. Conclusions The proper and mulriple Methods should be used for the patients with lacrima obstruction which can improve the rate of cure at lacrimal obstruction and refractory lacrimal obstruction.
出处
《临床眼科杂志》
2007年第1期49-50,共2页
Journal of Clinical Ophthalmology
关键词
泪道阻塞
综合性
个性化
治疗
Lacrimal obstruction
Compesitive
Individuated
Therapy