摘要
目的探讨新型泪道扩张引流管在泪道阻塞性疾病中的临床应用和疗效。方法回顾性病例系列研究。33例（37眼）中男7例（7眼），女26例（30眼）。年龄20～63岁。其中单纯鼻泪管狭窄和阻塞11例（11眼），鼻泪管阻塞合并慢性泪囊炎22例（26眼）。病程：3个月-12年。使用新型泪道扩张引流管逆行置入，术后即刻泪道冲洗，并予抗生素滴眼液滴眼，次日生理盐水冲洗泪道一次，以后每周1～2次冲洗，连续4周，有黏液脓性分泌物者加用庆大霉素冲洗，术后2—4个月后拔管。结果全部患者均置管成功，除5眼有少量出血外，其余都无明显不适或其他并发症。术后随访11—16个月，治愈26眼，有效6眼，总有效率86．49％。结论新型泪道扩张引流管置管术治疗泪道阻塞手术时间短，操作简便，并发症少，安全性高，效果好。
Objective To observe the clinical application and efficacy of new lacrimal drainage tube in the treatment of lacrimal duct occlusion. Methods It was a retrospective case series study. 33 patients （37 eyes） were enrolled in the study with 7 male cases （7 eyes） and 26 female cases （30 eyes）. The ages ranged from 20 to 63 years with an average （43 - 5） years old. 11 cases （ 11 eyes） were simple naso- lacrimal duct stenosis and obstruction, 22 cases （26 eyes） were nasolacrimal duct obstruction combined with chronic dacryocystitis. The course ranged from 3 months to 12 years. The new type of lacrimal drainage tubes were implanted. Results The tubes were placed successfully in all patients with a small amount of bleeding in 5 cases. There were no obvious discomfort and other complications in other cases. Postoperative follow - up time ranged from 11 to 16 months. 26 eyes were cured , 6 eyes were effective,the total effective rate was 86.49%. Conclusion This new lacrimal drainage tube is safe, easy to operate with good clinical effect in the treatment of Lacrimal duct occlusion.
出处
《中华眼外伤职业眼病杂志》
2014年第3期222-224,共3页
Chinese Journal of Ocular Trauma and Occupational Eye Disease
关键词
泪道扩张引流管
新型
泪道阻塞
置管术
泪道
逆行
Tube, drainage, lacrimal, new
Obstruction, lacrimal
Intubation, retrograde, lacrimal
