泪道内窥镜下泪道逆行置管术治疗泪道阻塞的效果观察  

Observation on the efficacy of lacrimal duct stents for lacrimal duct obstruction under lacrimalendoscope

作　　者：肖盼[1] 陆炯[1] 杨代慧[2] 陶建军[1] 邢茜[1] 孟逸芳[1] 李健[1] 

机构地区：[1]常熟市第二人民医院眼科,江苏215500 [2]南京医科大学第二附属医院眼科,南京210000

出　　处：《中华眼外伤职业眼病杂志》2017年第7期526-529,共4页Chinese Journal of Ocular Trauma and Occupational Eye Disease

摘　　要：目的观察泪道内窥镜下泪道逆行置管术治疗不同部位泪道阻塞的效果。方法对56例（62眼）泪道阻塞行泪道内窥镜检查及治疗，将患者分为3组：单纯上泪道阻塞组、单纯鼻泪管阻塞组及难治性泪道阻塞组。术后随访至拔管后6个月，分析泪道内窥镜下泪道逆行置管术对泪道不同部位阻塞的治疗效果。结果单纯上泪道阻塞组29眼治愈率89．7％，有效率100％，单纯鼻泪管阻塞组28眼治愈率82．1％，有效率92．9％，难治性泪道阻塞组5眼治愈率20％，有效率为60％。结论泪道内窥镜的应用对于单纯上泪道阻塞及单纯鼻泪管阻塞的治疗有其独到的优势。Objective To observe the efficacy of lacrimal duct stents under lacrimal endoscope for the treatment of lacrimal duct obstruction with different position. Methods The data of 62 eyes of 56 cases with lacrimal duct obstruction under endoscope were examined and treated. All patients were divided into three groups, presaccal canalicular obstruction group, nasolacrimal duct obstruction group and refractory lacrimal passage obstruction group. All patients were followed up for 6 months after removed the tube stents, the efficacy of different groups were compared and analyzed. Results The recovery rate in presaccal canalicular group was 89.7%, effective rate was 100%. The recovery rate in nasolacrimal duct obstruction group was 82.1% , effective rate was 92.9%. The recovery rate in refractory lacrimal passage obstruction group was 20%, effective rate was 60%. Conclusion Application of the lacrimal endoscope in the treatment of presaccal canalicular obstruction and nasolacrimal duct obstruction had its unique advantage.

关 键 词：泪道阻塞 泪道内窥镜 泪道置管术 

分 类 号：R779.6[医药卫生—眼科]