泪道探通术结合人工鼻泪管植入术治疗慢性泪囊炎疗效及临床价值研究  

Lacrimal passage exploration combined with artificial nasolacrimal tube implantation in the treatment of chronic dacryocystitis and its clinical value

作　　者：苑磊 马静 Yuan Lei;Ma Jing(Department of Ophthalmology,Yuncheng County Hospital of Traditional Chinese Medicine,Heze,Shandong 274700;Department of Gynecology,Yuncheng County People’s Hospital,Heze,Shandong 274700)

机构地区：[1]郓城县中医医院,山东菏泽274700 [2]Department of Gynecology,Yuncheng County People’s Hospital,Heze,Shandong 274700

出　　处：《中国医学文摘（耳鼻咽喉科学）》2022年第4期20-22,36,共4页Chinese Medical Digest(Otorhinolaryngology)

摘　　要：目的分析慢性泪囊炎患者采用不同手术方案治疗的价值。方法筛选50例慢性泪囊炎患者作为研究对象,50例患者均选自2020年4月~2021年4月区间,并按“随机法”分2组(每组25例),对照组采用泪道探通术治疗,观察组采用泪道探通术结合人工鼻泪管植入术治疗,对比2组临床疗效、并发症率、临床指标。结果观察组临床疗效(96.00%)高于对照组(76.00%)(P<0.05);并发症率(4.00%)低于对照组(28.00%)(P<0.05);临床症状积分、泪液分泌试验、CRP、IL-6、角膜荧光素染色低于对照组(P<0.05)。结论选择泪道探通术结合人工鼻泪管植入术对慢性泪囊炎进行治疗可改善其临床症状及炎症状态,亦可提高治疗有效性及安全性,值得参考。Objective To analyze the value of different surgical treatments for patients with chronic dacryocystitis.Methods Fifty patients with chronic dacryocystitis were selected as the research object.The 50 patients were selected from April 2020 to April 2021,and were divided into 2 groups(25 cases in each group)according to the“random method”.The control group used For the treatment of lacrimal passage probing,the observation group was treated with lacrimal passage probing combined with artificial nasolacrimal tube implantation,and the clinical efficacy,complication rate,and clinical indicators of the two groups were compared.Results The clinical efficacy of the observation group(96.00%)was higher than that of the control group(76.00%)(P<0.05);the complication rate(4.00%)was lower than that of the control group(28.00%)(P<0.05);clinical symptom score,tears The secretion test,CRP and IL-6 were lower than the control group,and the corneal fluorescein staining was higher than that of the control group(P<0.05).Conclusion The choice of lacrimal passage probing combined with artificial nasolacrimal duct implantation for the treatment of chronic dacryocystitis can improve the clinical symptoms and inflammatory state,and also improve the effectiveness and safety of the treatment,which is worthy of reference.

关 键 词：泪道探通术 人工鼻泪管植入术 慢性泪囊炎 角膜荧光素染色 泪液分泌试验 

分 类 号：R47[医药卫生—护理学]