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目的 讨论行上泪点进路连线硅胶管泪道植入联合泪道注药治疗鼻泪管阻塞的手术方法及其疗效。方法 对 5 7例 (6 8只眼 )慢性鼻泪管阻塞或合并慢性泪囊炎患者行上泪点进路植入自制连线硅胶管 6周 ,联合泪道内注入素高捷疗眼膏及庆大霉素地塞米松针合剂的方法进行治疗 ,评价治疗效果。结果 术后观察 6～ 2 8月 (平均 17.9月 ) ,治愈率为 94.1% (6 4/ 6 8) ,有效率为 95 .6 % (6 5 / 6 8)。结论 采用自制连线硅胶管泪道植入联合泪道注药方法治疗鼻泪管阻塞或合并慢性泪囊炎 ,手术成功率高 ,操作简单 ,损伤轻 ,痛苦小 ,是行泪囊鼻腔造口术前一种有效的非创伤性手术方法。
Objective To discuss the operation method and its curative effect of nasolacrimal duct obstruction treated with silicone tube lacrimal duct implantation combined with lacrimal passage in the line of punctum. Methods Fifty-seven patients (68 eyes) with chronic nasolacrimal duct obstruction or chronic dacryocystitis were implanted with self-made silicone tube for puncturation. Gentamicin dexamethasone needle mixture for treatment, evaluate the therapeutic effect. Results Postoperatively, the cure rate was 94.1% (64/68) in 6-8 months (mean 17.9 months). The effective rate was 95.6% (65/68). CONCLUSION: The nasal lacrimal duct obstruction or chronic dacryocystitis is treated with self-made silicone tube lacrimal duct implants combined with lacrimal duct injection. The successful operation rate is high, the operation is simple, the injury is light and the pain is small. Preoperative an effective non-invasive surgical methods.