带防黏连隔离膜的类Y型硅胶导管植入术治疗泪道阻塞疗效观察  

Implantation of anti-adhesion membrane of isolated silica Y-type catheter for lacrimal duct obstruction

作　　者：辛欣[1] 陈璐[1] 秦磊[1] 何静[1] 谭文静[1] 尹红[1] 

机构地区：[1]深圳市眼科医院,广东深圳518001

出　　处：《黑龙江医药科学》2009年第4期51-52,共2页Heilongjiang Medicine and Pharmacy

摘　　要：目的:观察带防黏连隔离膜的类Y型硅胶导管植入术治疗泪道阻塞的临床疗效,评价其应用价值。方法:对38例(48眼)泪道阻塞患者行带防黏连隔离膜的类Y型硅胶导管植入术,为治疗组;另外对38例(46眼)泪道阻塞患者行不带防黏连隔离膜的类Y型硅胶导管植入术,为观察组;对两组治疗效果进行比较。结果:治疗组所有病例术后1个月通畅率为89%,3个月通畅率为78%,术后半年及一年通畅率为71%和65%。观察组术后第1个月通畅率为67%,术后第3个月通畅率为60.2%,术后半年通畅率为52.9%,术后一年通畅率为42.3%;两组病人疗效具有显著差异(P<0.01)。结论:带防黏连隔离膜的类Y型硅胶导管植入术对治疗泪道阻塞效果确切,复发率低,值得临床推广。Objective：To observe the clinical efficacy of the implantation of Anti-adhesion membrane of isolated silica Y-type catheter for lacrimal duct obstruction and evaluate its application value. Methods：The implantation of Anti-adhesion membrane of isolated silica Y-type catheter was used for 38 cases （48 eyes） of lacrimal duct obstruction in the treatment group;the implantation of silica Y-type catheter was used for the other 38 cases （46 eyes） of lacrimal duct obstruction in the observer group; the two groups were compared in the curative effect. Results：The cure rate in the treatment group after the first and the third month of treatment was 89% and78%, after six months of treatment it was 71%. The cure rate after one year of treatment was 65%. The cure rate of the observer group at the first and the third month of treatment was 67% and60.2%,after half a year of treatment it was 52.9%,after one year of treatment it was 42.3%; There was significant difference between the two groups （P〈0.01 ）. Concl usion：lmplantation of Anti-adhesion membrane of isolated silica Y-type catheter for lacrimal duct obstruction Shows the exact effect and low relapse rate, worthy to be popularized.

关 键 词：泪道阻塞 硅胶导管 防黏连隔离膜 

分 类 号：R777.2[医药卫生—眼科]