RS型泪道引流管置入术联合泪小管切开术治疗泪小管炎患者的效果  

Effects of RS type lacrimal drainage tube implantation combined with canaliculotomy in treatment of patients with canaliculitis

作　　者：张华 ZHANG Hua(Orbital Disease and Lacrimal Duct Ward of Zhengzhou Second Hospital,Zhengzhou 450000 Henan,China)

机构地区：[1]郑州市第二人民医院眼眶病泪道病区,河南郑州450000

出　　处：《中国民康医学》2024年第22期36-38,共3页Medical Journal of Chinese People’s Health

摘　　要：目的:观察RS型泪道引流管置入术联合泪小管切开术治疗泪小管炎患者的效果。方法:选取2020年2月至2023年5月该院收治的70例泪小管炎患者进行前瞻性研究,按照随机数字表法将其分为研究组与对照组各35例。对照组行泪小管切开术治疗,研究组在对照组基础上行RS型泪道引流管置入术治疗,比较两组基础泪液分泌试验(SⅠt)水平、临床症状(泪小管周围红肿症状、溢泪症状)消失时间、血清炎性因子[肿瘤坏死因子-α(TNF-α)、白细胞介素(IL)-6]水平、并发症发生率和复发率。结果:术后1周,两组SⅠt水平和血清TNF-α、IL-6等炎性因子水平低于术前,且研究组低于对照组,差异均有统计学意义(P<0.05);研究组泪小管周围红肿症状、溢泪症状等临床症状消失时间均短于对照组,差异有统计学意义(P<0.05);术后6个月,研究组并发症发生率为5.71%,明显低于对照组的31.43%,差异有统计学意义(P<0.05);研究组术后6个月泪小管炎复发率为0,明显低于对照组的17.14%,差异有统计学意义(P<0.05)。结论:RS型泪道引流管置入术联合泪小管切开术治疗泪小管炎患者可降低SⅠt水平、炎性因子水平、并发症发生率和复发率,缩短临床症状消失时间,效果优于单纯泪小管切开术治疗。Objective:To observe effects of RS type lacrimal drainage tube implantation combined with canaliculotomy in treatment of patients with canaliculitis.Methods:A prospective study was conducted on 70 patients with canaliculitis admitted to this hospital from February 2020 to May 2023.According to the random number table method,they were divided into study group and control group,35 cases in each group.The control group was treated with canaliculotomy,while the study group was treated with RS type lacrimal drainage tube implantation on the basis of that of the control group.The levels of SchirmerⅠtest(SⅠt),the disappearance time of clinical symptoms(redness and swelling around lacrimal canaliculus,epiphora),the levels of serum inflammatory factors[tumor necrosis factor-α(TNF-α),interleukin(IL)-6],and the incidence of complications and recurrence rate were compared between the two groups.Results:1 week after the surgery,the levels of SⅠt and serum inflammatory factors such as TNF-αand IL-6 in the two groups were lower than those before the surgery,those in the study group were lower than those in the control group,and the differences were statistically significant(P<0.05).The disappearance time of clinical symptoms such as redness and swelling around lacrimal tubules and epiphora in the study group was shorter than that in the control group,and the difference was statistically significant(P<0.05).6 months after the surgery,the incidence of complications in the study group was 5.71%,which was significantly lower than 31.43%in the control group,and the difference was statistically significant(P<0.05).The recurrence rate of canaliculitis in the study group was 0 at 6 months after the surgery,which was significantly lower than that in the control group(17.14%),and the difference was statistically significant(P<0.05).Conclusions:RS lacrimal drainage tube placement combined with lacrimal canaliculotomy in the treatment of the patients with canaliculitis can reduce the levels of SⅠt,the levels of inflammatory fact

关 键 词：泪小管炎 RS型泪道引流管置入术 泪小管切开术 基础泪液分泌试验 临床症状 并发症 

分 类 号：R777.2[医药卫生—眼科]