泪道逆行置管治疗慢性泪囊炎的疗效观察  

Therapeutic effect of retrograde lacrimal intubation on chronic dacryocystitis

作　　者：杨文蕾[1] 李劲[1] 杜晓燕[1] 柳林[1] 

机构地区：[1]上海交通大学医学院附属仁济医院眼科,上海200127

出　　处：《中国眼耳鼻喉科杂志》2014年第3期181-183,共3页Chinese Journal of Ophthalmology and Otorhinolaryngology

摘　　要：目的观察泪道扩张引流管逆行鼻泪道插管治疗慢性泪囊炎的临床效果。方法观察于我院2012年1月-2013年6月诊治的慢性泪囊炎患者120例（120眼），男性26例（26眼）、女性94例（94眼）。在泪道和鼻腔黏膜麻醉行泪道扩张引流管逆行鼻泪道插管，术后常规处理，术后3d每天冲洗泪道，以后每周冲洗泪道，视情况拉长间隔时间1、2、3周；3个月左右拔管，随访6个月，每2周冲洗泪道。结果拔管后随访6个月，治愈70眼（治愈率58．3％）；好转19眼（好转率15．8％），有效率74．1％；无效31眼。结论泪道扩张引流管逆行鼻泪道插管治疗慢性泪囊炎是一种操作简便且有效安全的方法，对局部的解剖结构影响较小，适合于在基层医院开展。Objective To evaluate the efficacy of the retrograde lacrimal intubation in the treatment of chronic dacryocystitis. Methods One hundred and twenty patients （120 eyes） with chronic dacryocystitis were enrolled in the study from January 2012 to June 2013. Twenty-six patients were males, while 94 patients were females. All patients accepted retrograde lacrimal catheter implementation with silicone tube. The lacrimal passages were washed after the operation in 3 days,then once a week, and afterwards every 2 or 3 weeks. The tube was removed after 3 months. These patients were observed in the following 6 months after the operation and the tube was washed once every 2 weeks. Results Seventy patients were cured, with the cured rate being 58.3%. Nineteen patients were improved, with the improved rate being 15.8% and the effective rate being 74.1%. Thirty-one patients（31 eyes） were ineffective. Conclusions Implantation of novel dilation drainage is an effective, safe and simple method in treating chronic dacryocystitis,which is suitable for clinical application.

关 键 词：泪道扩张引流管 逆行插管 慢性泪囊炎 

分 类 号：R777.23[医药卫生—眼科]