激光消融置管术治疗慢性泪囊炎的临床观察  

Clinical observation of laser ablation combined with lacrimal duct intubation for the treatment of chronic dacryocystitis

作　　者：高珍[1] 张婧[1] 郝尚臣[1] 彭广华[1] 

机构地区：[1]郑州大学第一附属医院眼科,郑州450052

出　　处：《中华眼外伤职业眼病杂志》2016年第2期110-113,共4页Chinese Journal of Ocular Trauma and Occupational Eye Disease

基　　金：国家自然科学基金项目（31470065）;河南省基础与前沿技术研究计划（122300410334）;郑州大学一附院2012年度创新科研团队建设基金

摘　　要：目的观察激光消融联合泪道置管术治疗慢性泪囊炎合并泪道其他疾病的临床效果。方法回顾性分析我院眼科门诊采用激光泪道成形术联合硅胶支撑管置入术264例（310眼）。患者术前诊断均为慢性泪囊炎合并NtJ,管或泪总管狭窄或阻塞，术后随访6～12个月后拔管。分析拔管时患者的溢泪症状及泪道冲洗情况。结果治愈272眼，好转27眼，无效11眼，治愈率87．74％，好转率8．71％，无效率3．55％。结论激光消融联合泪道置管术疗效肯定、创伤小、费用低、不改变正常泪道结构、不影响美观，拟可建议作为治疗慢性泪囊炎合并泪道疾病的首选方法。Objective To observe the clinical efficacy of laser ablation combined with lacrimal duct intubation for the treatment of chronic dacryocystitis with other lacrimal passage diseases. Methods A total of 310 eyes of 264 cases diagnosed as chronic dacryocystitis with lacrimal duct stenosis or obstruction who received laser lacryocystoplasty and silicone stent intubation in our hospital were retrospectively analysed. The follow-up time was 6 - 12 months. The patient＇s symptoms and lacrimal passage irrigation condition after extubation were analysed. Results There were 272 eyes recovered（87.74% ）, 27 eyes improved （8.71%） and 11 eyes invalid（3.55 % ）. Conclusion Laser ablation combined with lacrimal duct intubation has good curative effect, few damage, low cost and doesn＇ t change the normal lacrimal duct structure and affect the appearance, which can be considered as the preferred treatment for chronic dacryocystitis with other lacrimal passage diseases.

关 键 词：慢性泪囊炎 泪道疾病 激光消融 置管术 

分 类 号：R779.6[医药卫生—眼科]