逆行鼻泪管插管术联合泪道冲洗治疗鼻泪管阻塞  

Treatment of nasolacrimal duct obstruction with recessive placement of nasolacrimal stent combined with lacrimal syringe

作　　者：戴红蕾[1] 骆非[1] 王荣光[1] 

机构地区：[1]首都医科大学附属北京同仁医院眼科中心,100730

出　　处：《眼科》2009年第3期183-185,共3页Ophthalmology in China

摘　　要：目的评价逆行鼻泪管插管术联合泪道冲洗治疗鼻泪管阻塞的疗效,探讨影响手术预后的因素。设计回顾性病例系列。研究对象鼻泪管阻塞患者186例(207眼)。方法对泪囊碘油造影确诊鼻泪管阻塞患者,采用泪道探通及逆行扩张鼻泪管后放置硅胶管手术,术后定期冲洗泪道,评价其疗效。主要指标手术后泪道冲洗情况。结果180例(201眼)成功植入硅胶管,手术成功率97.1%,术后定期冲洗泪道,3～12个月(平均6.4个月)拔管,拔管后3个月随访,167眼治愈(80.7%),好转25眼(12.1%),无效15眼(7.2%)。结论逆行鼻泪管插管术联合泪道冲洗是一种简单、安全、有效治疗鼻泪管阻塞的方法,其中病例选择、熟练泪道探通鼻泪管及术后定期冲洗泪道是手术成功的关键。Objective To evaluate the efficacy of recessive placement of nasolacrimal stent in the treatment of nasolacrimal duct obstruction and factors affecting the prognosis of the procedure. Design Retrospective case series. Participants One hundred eighty six patients （207 eyes） with nasolacfimal duct obstruction. Methods One hundred eighty six patients （207 eyes） of nasolacrimal duct ob- struction confirmed by dacryocystography had undergone recessive placement of nasolacrimal stent after probing and dilation of nasolacrimal duct. All patients received regular postoperative nasolacrimal duct syringe. Main Outcome Measures Status of postoperative lacrimal syringe. Results The stents were removed 3-12 months postoperatively, the patients were followed-up average 6 months. The operation success rate was 97.1%. 167 eyes achieved complete success（80.7%）. 25 eyes became better （12.1%）, and nasolacrimal duct obstructed again in 15 eases （7.2%）. Conclusions Recessive placement of nasolaerimal stent combined with postoperative nasolacrimal duct syringe is a simple, effective and safe technique in the treatment of nasolacrimal duet obstruction. Selecting correct patients, skillful technique of nasolaerimal duet probing and regular postoperative syringing of nasolaerimal duct are the main factors of successful procedures.

关 键 词：鼻泪管阻塞 逆行植入术 泪道冲洗 

分 类 号：R779.6[医药卫生—眼科]