鼻泪管阻塞手术失败再手术178例效果观察  

The analysis of 178 cases with failed surgery for lacrimal duct obstruction and the re-operation selection

作　　者：袁志敏 王蔷 张保夫[2] 尹丽慧 赵艺凡 

机构地区：[1]武警河北总队医院眼科,石家庄050081 [2]山东德州市人民医院眼科

出　　处：《中华眼外伤职业眼病杂志》2013年第7期543-544,共2页Chinese Journal of Ocular Trauma and Occupational Eye Disease

摘　　要：目的探讨鼻泪管阻塞手术失败后的再手术的效果。方法置入泪道疏通管治疗鼻泪管阻塞手术后再次泪道阻塞178例（178眼）。结果随访3个月～2年，治愈146例，治愈率82．02％，好转14例（7．87％），无效18例（10．11）％。无并发症发生。结论泪道疏通管治疗手术后再次泪道阻塞安全、有效。Objective To investigate the efficacy of re-operation after the failure of the first opera- tion for nasolacrimal duct obstruction. Methods Totally 178 eyes of 178 cases of recurrent nasolacrimal duct obstruction were reviewed. They and undergone surgery with intubations of the lacrimal passage pipe. Results After follow-up for 3 months to 2 years, 146 cases （82.02%） were cured entirely, 14 cases （7.87%） were meliorated, 18 cases （10.11%） with no effects. No complication was found. Conclusion For the recurrent lacrimal duct obstruction, the re-operation of intubating the lacrimal passage pipe was effective and safe.

关 键 词：泪道阻塞 再次 鼻泪管引流支撑硅胶管 拔管时间 

分 类 号：R779.6[医药卫生—眼科]