新型泪道支撑管逆行置管联合泪道激光治疗慢性泪囊炎及泪道阻塞  

The chronic dacryocystitis and lacrimal duct obstruction treated with new retrograde catheter combined with lacrimal laser

作　　者：唐浩[1] 王华[1] 唐苗苗[1] 沈兰珂 

机构地区：[1]陕西省安康市中医医院,225000

出　　处：《中华眼外伤职业眼病杂志》2012年第2期137-140,共4页Chinese Journal of Ocular Trauma and Occupational Eye Disease

摘　　要：目的观察泪道激光后运用新型泪道支撑管逆行置管及碘必舒眼膏治疗慢性泪囊炎及泪道阻塞的效果。方法127例（139眼）其中：慢性泪囊炎55眼、鼻泪管阻塞52眼、泪小管及鼻泪管阻塞23眼、单纯泪小管阻塞9眼。先用倍频Nd：YAG激光疏通泪道阻塞部位后，将新型硅胶泪道支撑管表面涂碘必殊眼膏后逆行置人阻塞的泪道部位。结果术后随访6—12个月，治愈104眼，好转27眼，无效8眼。结论新型泪道支撑管逆行置管联合泪道激光及碘必舒眼膏治疗慢性泪囊炎及泪道阻塞，操作简单、手术安全、疗效可靠、组织损伤小、皮肤不留瘢痕、且可重复手术。Objective To observe the effect of new lacrimal retrograde catheter combined with lacri- mal laser and tobradex eye ointment for chronic dacryocystitis and lacrimal duct obstruction. Methods 127 cases （ 139 eyes） were observed, among which 55 eyes with chronic dacryocystitis, 52 eyes with nasolacrimal duct obstruction, 23 eyes with canalicular and nasolacrimal duct obstruction, 9 eyes with canalieular obstruc-tion. First, clear the site of obstruction of lacrimal by using Nd： YAG laser, after which the new silicone lac- rimal sustained tubes coasted with oculentum of TobraDex were inserted into the blocked lacrimal area. Results Postoperative followed-up for 6 to 12 months： cured in 104 eyes, improved in 27 eyes, invalid in 8 eyes. Conclusion We can use lacrimal retrograde catheter joint lacrimal laser and TobraDex to cure chronic dacryocystitis and lacrimal duct obstruction. The surgery is safe, simple and reliable, with no scars, and can be repeated.

关 键 词：泪道支撑管 新型 泪道逆行置管 泪道激光 泪囊炎 慢性 泪道阻塞 

分 类 号：R779.6[医药卫生—眼科]