摘要
目的探讨激光泪道成形联合插管治疗泪道阻塞的远期疗效。方法泪道阻塞120例(120眼),随机分为两组:对照组60例单纯行激光泪道成形术;试验组60例行激光泪道成形联合插管治疗。术后门诊复诊冲洗泪道并记录溢泪症状和不良情况,必要时进行适当处理。随访3年。结果完成随访113例(对照组56例,试验组57例),失访7例(5.83%),两组基线比较差异无统计学意义(P>0.05),具有可比性。在随访第1年两组疗效比较差异无统计学意义(P>0.05),第2年两组疗效比较差异有统计学意义(P<0.05)。随访3年发现试验组较对照组效果好(P=0.002),且3年来对照组总有效率在逐年下降(P<0.05)而试验组总有效率基本保持稳定(P>0.05)。虽然两组均有并发症发生,但差异无统计学意义(P>0.05)。结论激光泪道成形联合插管治疗泪道阻塞较单纯激光泪道成形术远期疗效稳定而可靠。
Objective To assess the efficacy of YAG laser plastic operation assisted intubation for lacrimal passage obstruction. Methods A randomized trial was designed,120 patients（120 eyes） with lacrimal passage obstruction were divided into two groups.The control group was treated by means of YAG laser plastic operation and the trial group was treated by YAG laser plastic operation assisted intubation of lacrimal passage.Followed-up survey for 3 years at the ophthalmologic outpatient clinic,they were irrigated lacrimal duct regularly and recorded the symptoms of epiphora and adverse events.Therapeutic effects of the two groups was contrasted. Results There were 113 cases（113 eyes） with complete information（56 cases in control group and 57 cases in trial group）.Lost to follow-up happened in 7 cases with drop-out rate of 5.83%.Baseline analysis demonstrated that the two groups were comparable.The comparison of the therapeutic effects was not statistical difference between control group and trial group in the first year（P〉0.05）.In the second year,there was statistical difference between the two groups（P〈0.05）.Period of 3 years,the trial group was more effective than the control group.The total efficiency of the control group decreased gradually（P〈0.05）,but it remained stable in trial group（P〉0.05）.Although the complications emerged in the two groups,there was not statistical difference between the two groups（P〈0.05）. Conclusion YAG laser plastic operation assisted intubation for lacrimal passage obstruction was safe and stable,it is a recommended operation with less tissue hurt,no scar by simply operation.
出处
《眼外伤职业眼病杂志》
2010年第5期371-373,共3页
Journal of Injuries and Occupational Diseases of the Eye with Ophthalmic Surgeries
关键词
泪道阻塞
YAG激光
鼻泪管插管
lacrimal passage obstruction
YAG laser
intubation of lacrimal passage
