摘要
目的 观察泪道不同冲洗时间及冲洗次数对掺敏锐铝石榴石激光泪道成形术后效果的影响。方法 泪小 (总 )管阻塞 2 0只眼 (组A)及鼻泪管阻塞 40只眼 (组B)均采用掺钕钇铝石榴石激光行泪道成形术 ,术后各分两组 ,A1、B1组术后连续四天冲洗扩张泊道 ,第二周开始每周冲洗扩张 2次直至术后一个月 ;A2、B2组术后第一天及第三天冲洗扩张泪道 ,第二周开始每周冲洗扩张 1次直至术后一个月 ,对比分析各组疗效。结果 泪小 (总 )管阻塞及鼻泪管阻塞病例术后频繁冲洗组(A1、B1组 )与非频繁冲洗扩张组 (A2、B2组 )相比术后 1周内疗效均基本相同 ,无统计学差异 ;术后一个月时A1、B1组疗效低于A2、B2组 ,具有统计学差异 (P <0 0 5 )。结论 适当频次冲洗扩张可提高激光泪道成形术治愈率 ,过度频繁冲洗扩张可增加并发症的发生 。
Objective To investigate the effect of different frequency of drug irrigating and dilating treatment after endolacrimal recanalisation surgery by Nd:YADG laser.Methods 20 cases of lacrimal duct obstructionj and 40 cases of nasolacrimal duct obstruction received endolacrimal recanalisation surgery by Nd:YAG laser.Patients were divided into two groups by different irrigating and dilating treatment after surgery:frequent irrigating group and non-frequent irrigating group.Results Within 1 week,there was no difference in outcome between frequent irrigating group and non-frequent irrigating group,while 4 week after surgery non-frequent irrigating group got better outcome compared with frequent irrigating group( P <0 05).Conclusions Appropriate irrigating and dilation treatment might be helpful to get symptomatic success after endolacrimal laser surgery,while frequent irrigating and dilation treatment might be harmful.
出处
《中国实用眼科杂志》
CSCD
北大核心
2004年第5期380-381,共2页
Chinese Journal of Practical Ophthalmology
