Nd:YAG激光治疗各种泪道阻塞性疾病的疗效对比  

Comparative Study on Treatment of Obstructive Disease of Lacrimal Passage by Lacrimal Plastic Operation with Nd:YAG Laser

作　　者：朱深智[1] 李爱华[1] 刘美风[1] 张丽娟[1] 

机构地区：[1]昌邑市人民医院眼科,山东昌邑261300

出　　处：《潍坊医学院学报》2008年第3期254-256,共3页Acta Academiae Medicinae Weifang

摘　　要：目的观察Nd:YAG激光泪道成形术治疗阻塞性泪道疾病的疗效,并对泪道不同阻塞部位的疗效进行分析。方法利用Nd:YAG激光泪道成形术治疗阻塞性泪道疾病822例(910只眼),按泪道阻塞的部位分为泪小点阻塞(21只眼)、泪小(总)管阻塞(122只眼)、鼻泪管阻塞(402只眼)、慢性泪囊炎(228只眼)。并对其疗效进行对比分析。结果泪小点阻塞、泪小(总)管阻塞、鼻泪管阻塞、慢性泪囊炎的治愈率为75%,79.4%,82.3%,70.1%,有效率为87.5%,89.7%,90.2%,75%.经R id it分析,4种疾病激光泪道成形术疗效组间比较,差异有显著性(P<0.05)。结论Nd:YAG激光泪道成形术治疗鼻泪管阻塞效果最好,其余依次为泪小(总)管阻塞、泪小点阻塞、慢性泪囊炎。Objective To study the therapeutic effects of Nd ： YAG laser on obstructive diseases of the lacrimal passage. Methods Nine hundred and ten eyes in 822 cases with obstructive diseases of lacrimal passage,including obstruction of lacrimal punncta（21 eyes） , lacrimal duct（ 122 eyes ） , and nasolacrimal duct （402 eyes） , chronic dacryocystitis （ 228 eyes ） , were treated by lacrimal plastic operation with Nd ： YAG laser and the therapeutic effects were compared among the groups. Results The cure rates of the four diseases were 75% ,79.4% ,0 82.3% ,70.1% ,effective rates were 87.5% ,89.7% ,90.2% ,75% respectively. By Ridit analysis,the therapeutic effects on obstruction of nasolacrimal duct is less than those of obstruction of lacrimal punncta,lacrimal duct, chronic dacryocystitis （ P 〈 0.05 ）. The therapeutic effects of lacrimal plastic operation with laser on obstruction of nasolacrimal duct and chronic dacryocystitis were significantly different（ P 〈 0.05）. Conclusion The therapeutic effects of lacrimal plastic operation with laser on obstruction of chronic dacryocystitis is the best, others are in turn on obstruction of lacrimal puncta,lachrymal duct,nasolacrimal duct, it must be choosen the convenient patients strictly on chronic dacryocystitis.

关 键 词：泪道阻塞 泪囊炎 ND:YAG 

分 类 号：R777.2[医药卫生—眼科]