泪道内窥镜联合硅胶管植入治疗鼻泪管阻塞  

Treatment of nasolacrimal duct obstruction under Lacrimal endoscopic and implantation of the silicone tube

作　　者：沈素民[1] 张晓俊[1] 袁鹂[1] 薛信君[1] 刘锦[1] 

机构地区：[1]南京医科大学第二附属医院,江苏210011

出　　处：《中国实用眼科杂志》2008年第11期1230-1231,共2页Chinese Journal of Practical Ophthalmology

摘　　要：目的研究涸道内窥镜治疗鼻泪管阻塞的临床疗效。方法对自2007年2-11月选择了52例71只眼鼻泪管阻塞患者，在局麻下，扩张泪点后将泪道内窥镜按常规泪道探通法插入泪道，监视器屏幕直视下找到鼻泪管阻塞部位。直视下以微型环钻、激光清除阻塞处组织，使泪道完全通畅后，将硅胶管插入泪道鼻泪管并固定于鼻泪管内。结果52例（71只眼）鼻泪管阻塞患者在泪道内窥镜下联合硅胶管植入治疗后，随访3-6个月，治愈69只眼，治愈率达97．1％。结论在泪道内窥镜下，可以直接观察泪道内部情况，找到阻塞部位，能进行损伤最小的治疗，恢复鼻泪管的生理结构，术后反应轻，临床再通率高，是理想的治疗方法。Objective To study the lacrimal endoscopic treatment of nasolacrimal duct obstruction clinical efficacyMethods Since February 2007 to November selected 52 cases （71 eyes）with nasotacrimal duct obstruction,under local anesthesia.Expansion and lacrimal punctum conventional endoscope lacrimal probing into tears Road,under a monitor screen to find nasolacrimal duct obstruction site.Central to micro-surgery and drilling,or laser removal of the obstruction,the lacrimal completely unobstructed,will be silicone tube inserted lacrimal nasolacrimal duct and fixed within the nasolacrimal duct.Results Nasolacrimal duct obstruction in patients with lacrimal endoscopic ring drill for the treatment, follow-up of 3-6 months, 69 cured, the cure rate was 97.1%.Conclusion The lacrimal endoscope can be directly observed lacrimal internal situation and find obstructive sites can minimize damage to the treatment,rehabilitation nasolacrimal duct physiological structure, light reaction after clinical patency rate is desirable treatment methods.

关 键 词：内窥镜 鼻泪管阻塞 临床分析 疗效 

分 类 号：R765.9[医药卫生—耳鼻咽喉科] R777.220.5[医药卫生—临床医学]