自制金属支架治疗鼻泪管阻塞  

Self-made metal stent in treatment of nasolacrunal duct obstruction

作　　者：杜伟[1] 庞瑞麟[2] 罗罡[3] 顾进川[1] 龚永祥[4] 

机构地区：[1]云南省第二人民医院放射科,650021 [2]昆明医学院第一附属医院影像学科 [3]昆明医学院第二附属医院影像学科 [4]云南省第二人民医院眼科,650021

出　　处：《影像诊断与介入放射学》2003年第1期7-8,共2页Diagnostic Imaging & Interventional Radiology

摘　　要：目的 探讨自制金属支架治疗鼻泪管阻塞的临床效果。方法对15例18只眼鼻泪管阻塞植入自制不锈钢丝支架。先行泪道冲洗探通,从上泪点顺行插入导丝,沿导丝逆行引入扩展器,然后用导管鞘将金属支架植入鼻泪管阻塞段。术前与术后做泪道造影检查。结果术后泪道造影均通畅,溢泪完全消失11例13只眼,好转4例5只眼。随访61～219d,平均167d,仅2例2眼手术后3个月复发,阻塞的病例经手术取出支架,有肉芽组织增生。结论自制金属支架治疗鼻泪管阻塞是一种简单、安全、价廉、有效的方法。Objective To evaluate application of self-made metal stent in treatment of nasolacrimal duct obstruction. Methods In total 15 cases, self-made metal stents made of stainless steel wire were implanted in 18 obstructed nasolacrimal ducts. The lacrimal passages were rinsed and re - canalized followed by antegrade inserting the guide wire from upper dacryon. A dilator was inserted over the guide wire, and then a stent was released from a sheath into the impaired section of nasolacrimal duct. Dacryocystography was performed before and after the inter-ventional procedure. Results Dacryocystography showed patent nasolacrimal duct after treatment. Epiphora disappeared completely in 11 cases (13 ducts), improved in 4 cases (5 ducts). These cases had been followed up for 61 -219 days (167 days in average). Relapse was found in 2 cases (2 ducts) in three months. Those 2 stents were removed by surgical procedure and found occluded by granulation. Conclusion Interventional placement of the self?made metal stent is a simple, safe, low ?cost and effective treatment of the nasolacrimal duct obstruction.

关 键 词：金属支架 治疗 鼻泪管阻塞 

分 类 号：R777.2[医药卫生—眼科]