支撑管置入联合激光泪道成形术治疗慢性泪囊炎的疗效及影响因素研究分析  

Study on Effect and Influencing Factors of Joint Application of Tube Implantation and Laser Dacryocystitis in Treatment of Chronic Dacryocystitis

作　　者：杨雅媛 YANG Yayuan(Department of Ophthalmology,Affiliated Hospital of Xinyang Vocational and Technical College,Xinyang 464000,China)

机构地区：[1]信阳职业技术学院附属医院眼科,信阳市464000

出　　处：《中国激光医学杂志》2025年第1期23-28,共6页Chinese Journal of Laser Medicine & Surgery

摘　　要：目的评估支撑管置入联合激光泪道成形术治疗慢性泪囊炎的疗效和影响因素。方法回顾性分析2022年1月至2023年1月,慢性泪囊炎患者60例的临床资料,分为对照组和观察组,每组患者30例。对照组采用激光泪道成形术治疗,治疗频率30 Hz,治疗能量370mJ。观察组在对照组的基础上联用支撑管置入治疗。对所有患者均开展为期6个月的随访观察,对比两组临床疗效,并发症发生情况。此外,将所有患者按照临床疗效的差异再分为治愈组与未治愈组。通过单因素与多因素Logistic回归分析慢性泪囊炎疗效的影响因素。结果观察组的治愈率(70.0%)显著高于对照组(40.0%),两组比较差异具有统计学意义(P<0.05);观察组的无效率(3.33%)显著低于对照组(16.7%),两组比较差异具有统计学意义(P<0.05)。观察组术后感染0例(占0.0%)、泪道再次阻塞1例(占3.33%)、泪囊再次炎症1例(占3.33%);对照组术后感染3例(占10.0%)、泪道再次阻塞4例(占13.3%)、泪囊再次炎症2例(占6.67%),两组术后感染发生率比较,差异具有统计学意义(P<0.05)。治愈组病程短于未治愈组,且术中保留黏膜瓣、应用纳吸棉及支撑管置入治疗人数占比均高于未治愈组(均P<0.05)。经多因素Logistic回归分析证实,病程、术中保留黏膜瓣、应用纳吸棉及支撑管置入治疗均是慢性泪囊炎疗效的独立影响因素。结论支撑管置入联合激光泪道成形术显著提高了慢性泪囊炎患者的治愈率,降低了术后感染风险。病程、术中保留黏膜瓣、应用纳吸棉、支撑管置入治疗均是影响疗效的独立因素。Objective To evaluate the efficacy and influencing factors of the joint application of support tube implantation and laser dacryocystitis in treating chronic dacryocystitis.Methods The clinical data of 60 patients with chronic dacryocystitis treated between Jan.2022 and Jan.2023 were retrospectively analyzed.The patients were divided into a control group and an observation group,30 patients in each group.The patients in the control group were treated with laser lacrimoplasty(frequency:30 Hz,energy:370mJ).The patients in the observation group were given support tube insertion in addition.All the patients were followed up for 6 months to compare the clinical efficacy and complications between two groups.In addition,all the patients were also divided into a cured group and non-cured group by clinical efficacy.The factors influencing the cure of chronic dacryocystitis were determined via univariate and multivariate logistic regression analysis.Results The cure rate(70.0%)of the observation group was significantly higher than that(40.0%)of the control group,and the difference was statistically significant(P<0.05).The inefficiency(3.33%)of the observation group was much lower than that(16.7%)of the control group,and the difference was remarkable(P<0.05).In the observation group,there were 0 case of postoperative infection(0.0%),1 case of reobstruction of lacrimal passage(3.33%)and 1 case of reinflammation of dacryocystitis(3.33%).In the control group,there were 3 cases of postoperative infection(10.0%),4 cases of reinliamn ation of obstruction of lacrimal passage(13.3%)and 2 cases of reinflamm ation of dacryocystitis(6.67%).The difference between the two groups in incidence of postoperative infection was significant(P<0.05).The course of disease was shorter in the cured group than in the noncured group,and the proportion of patients treated with mucosal flap retention,absorbent cotton and support tube implantation was greater in the cured group than in the non-cured group(all P<0.05).It was confirmed via multivariate l

关 键 词：慢性泪囊炎 激光泪道成形术 支撑管置入 疗效 影响因素 

分 类 号：R779.63[医药卫生—眼科] R777.2[医药卫生—临床医学]