泪道支架植入术治疗慢性化脓性泪囊炎  

Treatment of Interventional Nasolacrimal Stent Placement for Chronic Dacryocystitis

作　　者：于静[1] 年春志[1] 肖卉[1] 高明宏[1] 蓝平[1] 

机构地区：[1]解放军沈阳军区总医院眼科,辽宁沈阳110016

出　　处：《临床军医杂志》2008年第5期768-770,共3页Clinical Journal of Medical Officers

摘　　要：目的探讨泪道支架植入术治疗慢性化脓性泪囊炎的临床疗效。方法对37例（42眼）慢性化脓性泪囊炎患者行泪道支架植入术，术后随访3～6个月。结果支架植入成功率100％。2眼于术后3～5d发生支架阻塞，及时行泪道冲洗后恢复通畅。另1眼发生于术后5个半月，泪道冲洗不通后拔除支架。支架留置期间，41眼泪道冲洗通畅，其中溢泪、溢脓症状完全消除35眼，另外6眼仍有轻度溢泪。取出支架后复发11眼占26．2％，治愈27眼，好转4眼，总有效率73.8％。结论应用泪道支架植入术治疗慢性化脓性泪囊炎手术时间短，出血少，安全性高，具有肯定的临床效果。Objective To evaluate the effectiveness of lacrimal stent placement for treatment of chronic dacryocystitis. Methods Thirty-seven patients （42 eyes） with chronic dacryocystitis received nasolacrimal stent placement. The period of postoperativef follow - up was 3 to 6 months. Results The success rate of the stent placement was 100%. Despite obstruction in two eyes occurred in 3 to 5 days postoperatively, the nasolacrimal ducts became patent after the irrigation of the lacrimal passages. One nasolaerimal duct was obstructed 5.5 months later after the operation and the stcnt was removed. The symptoms completely disappeared in 35 eyes, and partially improved in 6 eyes. After the extraction of the stents, the symptoms recurred in 11 eyes （ 26.2% ）. The operation was finally successful in 27 eyes and partially effect in4 eyes. The totally effective rate was 73.8%. Conclusion The interventional nasolaerimal stent placement is a safe, simple and effective method for the treatment of chronic dacryocystitis.

关 键 词：慢性泪囊炎 溢泪 泪道支架 

分 类 号：R777.23[医药卫生—眼科]