论文部分内容阅读
目的探讨泪囊鼻腔吻合术联合超细泪道管置入治疗难治性泪道阻塞的临床效果。方法回顾总结邵阳县人民医院2004年5月至2008年5月收治难治性泪道阻塞42例(51眼),术中泪囊探查及泪道浚通、骨孔制作、超细泪道管环形置入,术后常规处理,3个月后拔管,随访3个月至4年。结果术后3个月内仅极少数患者存在轻度溢泪、异物不适及眼内眦部充血,无泪道管脱落、泪小点撕裂及其他并发症。拔管后随访观察3个月～4年,治愈45眼,治愈率为88.24%(45/51);有效5眼,有效率为9.80%(5/51);无效1眼,无效率为1.96%(1/51)。结论泪囊鼻腔吻合术联合超细泪道管置入治疗泪小管阻塞、小泪囊效果良好,扩大了传统泪囊鼻腔吻合术的适应症,该手术设备简单、直视下操作、手术难度小适用基层。
Objective To investigate the clinical effect of dacryocystorhinostomy combined with ultrafine lacrimal duct in the treatment of refractory lacrimal duct obstruction. Methods Review summarized Shaoyang County People’s Hospital from May 2004 to May 2008 admitted refractory lacrimal duct obstruction in 42 cases (51 eyes), intraoperative lacrimal sac exploration and lacrimal passage junctions, bone hole production, ultrafine lacrimal duct Ring into the postoperative routine treatment, extubation after 3 months, followed up for 3 months to 4 years. Results Only a few patients within 3 months after operation had mild oozing, foreign body discomfort and hyperemia in the eye, no lacrimal canal shedding, punctured tears and other complications. Followed up after extubation for 3 months to 4 years, cured 45 eyes, the cure rate was 88.24% (45/51); effective 5 eyes, the effective rate was 9.80% (5/51); ineffective 1 eyes, ineffective rate was 1.96 % (1/51). Conclusion dacryocystorhinostomy combined with ultrafine lacrimal duct placement of the treatment of lacrimal duct obstruction, small dacryocystis good effect, expanding the traditional dacryocystorhinostomy indications, the operation equipment is simple, under direct vision operation, the operation is difficult For grassroots.