摘要
目的:观察在泪道内窥镜下泪道阻塞及治疗前后的形态对比以判断预后,指导手术。方法:我们2007-02/11选择了52例(71眼)泪道阻塞患者,应用微型泪道内窥镜直视下动态观察泪道粘膜形态及狭窄部位,以环钻和/或激光解除阻塞,并逆行植入硅胶管,拔管后随访0.5a。结果:52例(71眼)泪道阻塞患者经治疗后,治愈67眼,治愈率达94%,再次检查发现2眼泪道内壁有纤维附着,2眼泪总管阻塞。结论:在泪道内窥镜下,直接观察泪道细小病变,并进行有针对性地环钻、激光术治疗,避免了手术对正常组织的损伤及假道形成,并可彻底清除阻塞物,防止再阻塞发生,是理想的治疗方法。
AIM： To observe the obstruction and the shape before and after treatment under endoscopy, in order to judge prognosis and guide surgew.
METHODS： Fifty-two cases （71 eyes） with dacwagogatresia from February to November, 2007 in our hospital were selected. Microminiature endoscope was used to observe morphology of lacrimal mucosal and narrow parts. Central drilling and/or laser lifting was used to dredge obstruction, and the silicone was implanted reversely. The followed-up time was 6 months after extubation.
RESULTS： After treatment, 67 eyes （94%） were cured. Two eyes revealed a fiber wall attachment at lacrimal passage, and two eyes had lacrimal duct obstruction.
CONCLUSION： Under lacrimal endoscope, we can directly observe lacrimal small lesions, perform micro-drilling/laser treatment in a targeted manner, avoid normal tissue injury and forming a false passage, completely clear the obstruction and prevent further obstruction. Lacrimal endoscope is an ideal treatment.
出处
《国际眼科杂志》
CAS
2008年第10期2138-2140,共3页
International Eye Science
关键词
内窥镜
泪道阻塞
微型环钻
YAG激光
endoscopy
dacryagogatresia
microminiature
drilling
laser
