泪道环形硅胶支架植入技术改进  

Techinque Improvement of ringing intubation for lacrimal canaliculi occlusion

作　　者：司永练[1] 段灵霞[1] 于彬科[1] 赵莉[1] 王金平[1] 杨维刚[1] 

机构地区：[1]延安大学咸阳医院眼科中铁二十局中心医院,中国陕西省咸阳市712000

出　　处：《国际眼科杂志》2014年第1期173-175,共3页International Eye Science

摘　　要：目的：对泪道环形硅胶支架植入的手术方法和器械进行了改进，使手术过程简单易学，治疗效果良好。 方法：A组：泪道阻塞90眼，用Nd：YAG激光疏通泪道后，采用改良的环形硅胶支架植入术治疗；B组：泪道阻塞80眼，用Nd：YAG激光疏通泪道后，采用经典的环形硅胶支架植入术治疗。术后均随访2a，比较两组的治愈率及有效率。 结果：随访2a，A组治愈80眼，治愈率为89％，好转7眼，好转率为8％，总有效率为97％，无效3眼；B组治愈60眼，治愈率为75％，好转9眼，好转率为11％，总有效率为86％，无效11眼。两组治愈率之间比较，差异有统计学意义（χ2＝5．62，P＜0．05）；两组总有效率比较，差异有统计学意义（χ2＝4．78，P＜0．05）。 结论：改进的硅胶支架植入方法治疗泪道阻塞效果更佳，值得推广。AIM： To ameliorate the techniques and instruments forlacrimal duct obstruction in order to learn easily and achieve better surgical effects. METHODS： Group A： 90 eyes with lacrimal duct obstruction were treated with the ameliorated annular silicone stent intubation; Group B： 80 eyes were treated with the classical annular stent intubation.Follow up in 2 years after operation, comparing the rate of cure and efficiency between the two groups. RESULTS：After a two-year follow-up, in group A, 80 （89%） eyes were cured, 7 eyes （7.8%） turned better and 3 eyes failed to respond, the total effective rate was 97%;in group B, 60 （ 75%） eyes were cured, 9 （ 11%） turned better and 11 failed to respond, the total effective rate was 86%.Differences in cure rate （χ2=5.62, P〈0.05） and total effective rate （χ2=4.78, P〈0.05） between two groups had statistical significance. CONCLUSION： The ameliorated means is simple and effective in treatment oflacrimal canaliculi occlusion, it is worth of spreading.

关 键 词：泪道阻塞 环形硅胶管 技术改进 

分 类 号：R779.6[医药卫生—眼科]