经泪小点泪道内窥镜治疗慢性泪囊炎的临床观察  

The treatment of chronic dacryocystitis by endoscopy of the lacrimal drainage system

作　　者：黄渝侃[1] 王智[1] 陈炜[1] 张明昌[1] 陈飞[1] 

机构地区：[1]华中科技大学同济医学院附属协和医院眼科,武汉430022

出　　处：《中国实用眼科杂志》2007年第11期1251-1254,共4页Chinese Journal of Practical Ophthalmology

摘　　要：目的探讨经泪小点泪道内窥镜对慢性泪囊炎的治疗方法,观察其临床应用效果并评估辅助治疗方法的应用。方法对26例（26眼）慢性泪囊炎患者于局麻下使用经泪小点泪道内窥镜进行观察并予泪道激光或微型电钻再通鼻泪管,泪道冲洗通畅后,注入0.3%妥布霉素＋0.1%地塞米松眼膏。术后随访观察疗效及并发症。结果术中鼻泪管阻塞再通率100%,术后随访治愈率80.77%。激光治疗和电钻治疗对慢性泪囊炎治愈率分别为66.67%、88.24%（P=0.302）,术中出血发生率分别为11.11%、58.82%（P=0.036）。结论经泪小点泪道内窥镜系统能在直视下对慢性泪囊炎进行针对性治疗,是一种有效的新方法。Objective To investigate the treatment of chronic dacryocystitis with endoscopy of the lacrimal drainage system,and to evaluate iti subsidiary surgical procedures in clinical applications. Methods 26 patients （26 eyes） with chronic dacryocystitis were examined by endoscopy of the lacrimal drainage system under local anesthesia,and the obstructions of nasolacrimal duct were treated with laser or microdrill,Irrigation was performed to prove the recanalisation of the lacrimal passage after the treatment. Ointment with 0.3 % tobramycin and 0.1% dexamethasone was injected into the lacrimal passage. All patients were followed up after the operation for 3-6 months. Results The scene in the lacrimal sac and the obstruction of nasolacri-mal duct of each eye could be observed effectively. 100% of the obstructions were cleared after the operation. Through the random follow up,the total cure rate was 80.77% . And the cure rate is 66.67% with the laser treatment and 88.24% with the microdrill treatment （P=0.302） . Thebleeding rate in the operation is 11.11% with the laser treatment and 58.82% with the microdrill treatment （P=0.036 ） . Conclusion The chronic dacryocystitis can be treated directly through the endoscopy of the lacrimal drainage system. It is a new and effective way for removing this disease.

关 键 词：泪道内窥镜 慢性泪囊炎 激光 微型电钻 

分 类 号：R777.23[医药卫生—眼科]