摘要
目的:分析碘化油造影在慢性泪囊炎手术治疗中的应用。方法:对52例58眼慢性泪囊炎患者进行碘化油泪囊造影,观察泪囊显影形态,并根据造影结果选择治疗方法。泪囊大小在5.0mm×3.0mm×3.0mm以上,则选择鼻腔泪囊吻合术,低于以上数值则选择YAG激光泪道成形术。结果:58眼慢性泪囊炎造影发现鼻泪管阻塞53眼(91%),鼻泪管不完全阻塞(狭窄)5眼(9%);53眼完全阻塞中,阻塞部位在鼻泪管上端(开口处)45眼(85%),阻塞部位在鼻泪管中段4眼(8%),阻塞部位在鼻泪管下段4眼(8%)。58眼慢性泪囊炎的造影形态和大小:囊样扩张32眼(55%),不规则结节样12眼(21%),条索样5眼(9%),分叶样5眼(9%),节段样扩张4眼(7%)。46眼采取鼻腔泪囊吻合术,治愈44眼,治愈率96%,12眼采取YAG激光泪道成形术治愈10眼,治愈率83%。结论:碘化油泪囊造影可以对慢性泪囊炎治疗方法的选择给出指导,应该成为慢性泪囊炎手术治疗前的一项常规检查。
AIM：To study the application of iodized oil visualization in the therapy of chronic dacrocystitis. ·METHODS：Fifty-two cases（58 eyes） with chronic dacrocystitis underwent iodized oil visualization.The form of dacryocyst was observed,and different therapy methods were selected according to it.The cases whose dacryocyst was more than 5.0mm×3.0mm×3.0mm received dacryorhinocy stotomy,the others’ less than that received the YAG laser probing of lacrimal passage. ·RESULTS：Nasolacrimal duct obstruction were in 53 eyes（91%） among which 45 eyes obstruction（85%） were at the starting position of nasolacrimal duct;4 eyes（8%） at the middle piece;4 eyes（8%） at the end-piece,and incomplete nasolacrimal duct obstruction occurred in 5 eyes（9%） . The form and size of dacryocyst in patients with chronic dacryocystitis：32 eyes（55%） showed cystoid distention;12 eyes（21%） anomalo-tubercle;5 eyes（9%） trabs;5 eyes（9%） sublobe;4 eyes（7%） segment dis-tention. 44 eyes of 46 patients who received dacryorhi-nocy stotomy were cured,and the recovery rate was 96%. 10 eyes of 12 patients who receiv-ed the laser prob-ing of lacrimal passage were cured,and the recovery rate was 83%.·CONCLUSION：The iodized oil visualization can guide us to choose a therapy method for dacrocystitis,and it should be a routine pretherapeutic examination of chronic dacrocystitis.
出处
《国际眼科杂志》
CAS
2009年第9期1816-1817,共2页
International Eye Science
关键词
碘化油造影
慢性泪囊炎
应用
iodized oil visualization
chronic dacrocys-titis
application
