摘要
目的探讨鼻泪管支架留置时间长短与临床疗效的关系。方法鼻泪管阻塞90例(90眼)随机分为两组,A组鼻泪管支架植入术后2个月拔管,B组12个月拔管,分别随访1a观察其复发率。同时观察两组在鼻泪管支架植入时期的临床表现。结果 A组38例(38眼),拔管后1a内有16眼复发,(42.l0%)。B组52例(52眼)拔管后1a内有8眼复发(15.38%)。两组复发率差异有统计学意义χ2=4.85,P<0.05。两组在鼻泪管支架植入时期治愈率92.33%。结论鼻泪管支架植入治疗鼻泪管阻塞效果良好,而在鼻泪管支架植入期间临床治愈率最高。因此鼻泪管支架长期植入是治疗泪道狭窄的有效方法。
Objective To discuss the relationship between the retention time of nasolacrimal stent and the clinical results in the treatment of nasolacrimal duct obstruction. Methods We randomly divided 90 cases（90 eyes） of outpatients into 2 groups：The nasolacrimal stents of group A were taken away after 60 days,while the stent of group B were taken away after 1 year. They were followed-up for one year after the nasolacrimal stents were removed. The clinical manifestation of the 2 groups during nasolacrimal stent implanted was observed. Results 16 eyes of the 38 cases （38 eyes） in group A relapsed nasolacrimal duct obstruction in 1 year,the recurrence rate was 42.10%. The stent of the 52 cases （52 eyes） in Group B were taken away after 12 months,8 of them relapsed nasolacrimal duct obstruction in 1 year,the recurrence rate was 15.38%. There was significant difference between the two groups （χ^2=4.85 P〈0.05）,The clinical cure rate during the nasolacrimal stent implanted was 92.33%. Conclusion Nasolacrimal stent implantation was effective. The cure rate was the highest when the nasolacrimal stent was implanted. Long term of nasolacrimal stent implantation is an effective method for treatment of the stenosis of lacrimal passages.
出处
《眼外伤职业眼病杂志》
2010年第11期841-843,共3页
Journal of Injuries and Occupational Diseases of the Eye with Ophthalmic Surgeries
关键词
泪囊炎
慢性
鼻泪管阻塞
鼻泪管支架
留植时间
dacryocystitis
chronic
nasolacrimal duct obstruction
nasolacrimal stent
retention time
