结膜移植联合泪小管切开治疗复杂性上泪道阻塞  

The efficacy of conjunctival transplantation combined with lacrimal canaliculus incision for the treatment of complex upper lacrimal duct obstruction

作　　者：张咏 谢杨杨[2] 陈琳[1] 李沙 Zhang Yong;Xie Yangyang;Chen Lin;Li Sha(Hankou Eye Hospital of Wuhan Aier Eye Hospital,Wuhan 430000,China;Wuhan Aier Eye Hospital,Wuhan 430000,China)

机构地区：[1]武汉爱尔眼科医院汉口医院,武汉430000 [2]武汉爱尔眼科医院,430000

出　　处：《中华眼外伤职业眼病杂志》2020年第1期65-69,共5页Chinese Journal of Ocular Trauma and Occupational Eye Disease

基　　金：湖北省武汉市医学科研面上重点项目(WX19A03)。

摘　　要：目的评估自体结膜移植联合泪小管切开治疗复杂性上泪道阻塞的临床效果。方法对2017年2月至2018年6月于武汉爱尔眼科医院汉口医院接受自体结膜移植联合泪小管切开术的复杂性上泪道阻塞患者31例(32眼)进行回顾性分析。术后随访1年,观察泪道冲洗结果评估手术效果。结果术后1年,21眼(62.62%)泪道冲洗通畅,无溢泪症状;7眼(21.88%)泪道冲洗部分返流,室外偶有溢泪症状;4眼(12.50%)泪道冲洗仍有较多返流,溢泪症状较前略有好转。结论自体结膜移植联合泪小管切开能够有效的治疗复杂性上泪道阻塞。Objective To evaluate the clinical efficacy of autologous conjunctival transplantation combined with lacrimal canaliculus incision for the treatment of complex upper lacrimal duct obstruction.Methods A retrospective study.A total of 32 eyes of 31 patients of complex upper lacrimal duct obstruction,who were treated with autologous conjunctival transplantation combined with lacrimal canaliculus incision from Feb.2017 to Jun.2018 in Hankou Eye Hospital of Wuhan Aier Eye Hospital were analyzed.The lacrimal passage irrigation were observed.The follow-up time was 1 year after surgery.Results At 1 year after surgery,21 eyes(65.62%)of lacrimal passage irrigation were successful without symptom of epiphora.Lacrimal passage irrigation with partial reflux,and symptoms of epiphora occasionally occurred outdoors in 7 eyes(21.88%).Lacrimal passage irrigation with more reflux,and symptoms of epiphora improved slightly in 4 eyes(12.50%).Conclusion Autologous conjunctival transplantation combined with lacrimal canaliculus incision is effective for the treatment of complex upper lacrimal duct obstruction.

关 键 词：移植 结膜 自体 切开 小管 泪 阻塞 泪道 上 

分 类 号：R77[医药卫生—眼科]