内窥镜下泪道激光与泪道激光结合置管术治疗慢性泪囊炎的临床效果分析  

Analysis of Clinical Effect of Endoscopic Lacrimal Duct Laser Combined with Lacrimal Duct Laser Tube Placement in the Treatment of Chronic Dacryocystitis

作　　者：张樑清 ZHANG Liangqing(Department of Ophthalmology,Hospital of Guangxi Liugang Medical Co.,Ltd.,Liuzhou,Guangxi Zhuang Autonomous Region,545000 China)

机构地区：[1]广西柳钢医疗有限公司医院眼科,广西柳州545000

出　　处：《系统医学》2022年第10期64-67,共4页Systems Medicine

摘　　要：目的 分析对于慢性泪囊炎的治疗采用内窥镜下泪道激光与泪道激光结合置管术的临床效果。方法以该院2020年1月—2021年1月期间收治的86例慢性泪囊炎患者为研究对象,依据手术方式的不同均分为两组,对照组43例采用泪道激光联合置管术治疗,观察组43例采用内窥镜下泪道激光结合置管术治疗,分析两组疗效。结果 观察组患者治疗总有效率(93.48%)优于对照组(91.91%),但差异无统计学意义(χ^(2)=0.004,P=0.951);观察组并发症发生率(4.34%)低于对照组(20.45%),差异有统计学意义(χ^(2)=5.438,P=0.020)。结论 采用内窥镜泪道激光与泪道激光结合置管术治疗慢性泪囊炎均具有较高疗效,但内窥镜泪点激光置管术并发症发生率较低,值得研究。Objective To analyze the clinical effect of endoscopic lacrimal duct laser combined with lacrimal duct laser catheter placement for the treatment of chronic dacryocystitis.MethodsA total of 86 patients with chronic dacryocystitis admitted to the hospital from January 2020 to January 2021 were selected as the research objects,and they were divided into two groups according to the different surgical methods.43 cases in the control group were treated with lacrimal duct laser combined with catheter placement,and 43 cases in the observation group were treated with endoscopic lacrimal duct laser combined with catheter placement.Analyzed of the therapeutic effects of the two groups.ResultsThe total effective rate of patients in the observation group 93.48% was higher than that in the control group,which was 91.91%,but the difference was not statistically significant(χ^(2)=0.004,P=0.951);the incidence of complications in the observation group was 4.34%,which was lower than that in the control group,which was20.45%,and the difference was statistically significant(χ^(2)=5.438,P=0.020).ConclusionEndoscopic lacrimal laser and lacrimal laser combined with catheter placement have high curative effect in the treatment of chronic dacryocystitis.However,the complication rate of endoscopic punctal laser catheterization is low,which is worthy of study.

关 键 词：内窥镜下泪道激光 泪道激光结合置管术 慢性泪囊炎 疗效 

分 类 号：R4[医药卫生—临床医学]