新型泪道内窥镜下微钻疏通联合人工鼻泪管置入治疗鼻泪管阻塞的效果  

Clinical efficacy of microdrill and artificial nasolcrimal duct implantation with new generation lacrimal endoscopy on nasolcrimal duct obstruction

作　　者：王兴存 朱立强[1] 左文渊[1] 孟志强 刘洋[1] 提同欣[1] 

机构地区：[1]解放军第322医院眼科,山西大同037006

出　　处：《眼科》2017年第6期366-370,共5页Ophthalmology in China

摘　　要：目的分析第五代泪道内窥镜下泪道疏通联合人工鼻泪管置入治疗鼻泪管阻塞的疗效。设计前瞻性比较性病例系列。研究对象117例鼻泪管阻塞患者。方法随机分组,观察组61例61眼(泪道内窥镜下微钻疏通联合人工鼻泪管置入术),对照组56例56眼(外路泪囊鼻腔吻合术),术后随访6个月,观察两组患者治疗效果。主要指标有效率、并发症发生率。结果观察组有效率(治愈率+好转率)92.1%,对照组有效率74.7%(P=0.178)。并发症(术中出血及术后眼睑水肿)发生率:观察组17.1%,对照组47.2%(P=0.000)。结论 6个月的随访结果显示,新型泪道内窥镜下微钻疏通联合人工鼻泪管植入治疗鼻泪管阻塞效果好,并发症少。Objective To analyze the clinical effect of the microdrill combined with artificial nasolcrimal duct implantation with the fifth generation lacrimal endoscopy on the nasolcrimal duct obstruction. Design Prospective comparative case series. Participants 117 patients with nasolcrimal duct obstruction. Methods The patients were randomly divided into observation group （endoscopic lacrimal microdrill with artificial nasolcrimal duct group, 61 cases 61 eyes） and control group （dacryocystorhinostomy group, 56 cases 56 eyes）. Their clinical effects were compared after the treatment. The follow-up period was 6 momths. Main Outcome Measures The effective rate and the complication rate. Results In the observation group and the control group, the effective rate （cure rate ＋ improvement rate） was 92.1% and 74.7%, respectively（P=0.178）; the complication rate was 17.1% and 47.2%, respectively （P=0.000）. Conclusion This short-term follow-up results showed that the treatment of microdrill and artificial nasolcrimal duct implantation for nasolcrimal duct obstruction with the new generation lacrimal endoscopy was effective, safe.

关 键 词：鼻泪管阻塞/外科学 泪道内窥镜 

分 类 号：R779.6[医药卫生—眼科]