RS型泪道引流管与硬膜外导管在泪小管断裂吻合术患者中的应用效果比较  

Comparison of application effects of RS lacrimal drainage tube and epidural catheter in patients with lacrimal canaliculus anastomosis

作　　者：郭彦梅 GUO Yanmei(Department of Ophthalmology of Gongyi City People’s Hospital,Zhengzhou 451200 Henan,China)

机构地区：[1]巩义市人民医院眼科,河南郑州451200

出　　处：《中国民康医学》2023年第9期153-155,共3页Medical Journal of Chinese People’s Health

摘　　要：目的:比较RS型泪道引流管与硬膜外导管在泪小管断裂吻合术患者中的应用效果。方法:选取2017年5月至2021年5月该院收治的60例泪小管断裂患者进行前瞻性研究,按照随机数字表法将其分为观察组和对照组各30例。两组均行泪小管断裂吻合术治疗,对照组采用硬膜外导管作为泪道支撑物,观察组采用RS型泪道引流管作为泪道支撑物,术后随访6个月。比较两组临床疗效,手术相关指标(手术时间、引流管拔除时间、术后眼睑肿胀消退时间)水平,术后1、3 d疼痛程度[视觉模拟评分法(VAS)]评分和并发症发生率。结果:观察组治疗总有效率为96.67%(29/30),明显高于对照组的73.33%(22/30),差异有统计学意义(P<0.05);观察组手术时间、引流管拔除时间、术后眼睑肿胀消退时间均短于对照组,差异有统计学意义(P<0.05);观察组术后1、3 d的VAS评分均低于对照组,差异有统计学意义(P<0.05);两组并发症发生率比较,差异无统计学意义(P>0.05)。结论:RS型泪道引流管应用于泪小管断裂吻合术患者可提高治疗总有效率,缩短手术时间、引流管拔除时间和术后眼睑肿胀消退时间,减轻术后疼痛,效果优于硬膜外导管。Objective:To compare application effects of RS lacrimal drainage tube and epidural catheter in patients with lacrimal canaliculus anastomosis.Methods:A prospective study was conducted on 60 patients with lacrimal canaliculus anastomosis admitted to the hospital from May 2017 to May 2021.They were divided into observation group and control group according to the random number table method,30 cases in each.Both groups were treated with lacrimal canaliculus anastomosis.The control group used epidural catheter as the lacrimal duct support,while the observation group used RS lacrimal duct drainage tube as the lacrimal duct support.These patients were followed up for 6 months.The clinical efficacy,the operation related index levels(operation time,drainage tube removal time,postoperative eyelid swelling regression time),the pain degree[visual analogue scale(VAS)]score at 1 and 3 days after the operation,and the complication rate were compared between the two groups.Results:The total effective rate of treatment in the observation group was 96.67%(29/30),which was significantly higher than 73.33%(22/30)in the control group,and the difference was statistically significant(P<0.05).The operation time,the drainage tube removal time and the postoperative eyelid swelling regression time in the observation group were shorter than those in the control group,and the differences were statistically significant(P<0.05).The VAS scores of the observation group 1 and 3 days after the operation were lower than those of the control group,and the differences were statistically significant(P<0.05).However,there was no significant difference in the incidence of complications between the two groups(P>0.05).Conclusions:The RS lacrimal drainage tube in the patients with lacrimal canaliculus anastomosis can improve the total effective rate of treatment,shorten the operation time,the drainage tube removal time and the postoperative eyelid swelling regression time,and reduce the postoperative pain.Moreover,it is superior to epidural catheter.

关 键 词：泪小管断裂吻合术 RS型泪道引流管 硬膜外导管 疼痛 并发症 

分 类 号：R779.6[医药卫生—眼科]