摘要
目的观察鼻泪管球头硅胶管逆行植入术治疗慢性泪囊炎的临床疗效。设计回顾性病例系列。研究对象65例（67眼）慢性泪囊炎患者。方法对以上患者行鼻泪管球头硅胶管逆行植入术，采用泪道探通的方法，8号送线针将牵引线送入下鼻道，鼻泪管扩张绳扩张鼻泪管后，在牵引线的引导下逆行植入球头硅胶管。术后1周内每天以冲洗液（庆大霉素＋地塞米松混合液及生理盐水）冲洗泪道1次，1周后改为每周冲洗泪道1次，持续3个月。3-6个月后拔出球头硅胶管，拔管后每周以冲洗液冲洗泪道，共4次，鼻泪管内注入妥布霉素地塞米松眼膏。随访3个月。2年，观察泪道是否通畅及分泌物情况。主要指标溢泪流脓症状、泪道冲洗结果。结果术中65例（67眼）均一次植管成功，泪道冲洗通畅，拔管后随访期间49眼（73．13％）泪道冲洗通畅，泪溢及脓性分泌物消失。术中及术后无明显并发症，无假道形成。结论球头硅胶管逆行植入术对大部分慢性泪囊炎患者治疗有效。
Objective To observe the clinical effects of the recessive placement of spherical headed silicone tube on treatment of chronic daeryocystitis. Design Retrospective case series. Participants 65 patients （ 67 eyes） with chronic dacryocystitis. Methods All the participants were accepted the operations of the recessive placement of spherical headed silicone tube. Using the method of probing of lacrimal passage, the traction line was sent into the inferior nasal meatus using the 8-pin, after the expansion of nasal tube using the expansion rope, the ball head silicone tube was tracted retrogradely guaided by the traction line and implanted. Then the lacrimal pas- sages were washed with plus gentamicin and dexamethasone mixture and saline irrigation after the operation once a day in one week, after 1 week once a week, for 3 months, and the tube was removed three to six months after placing. The lacrimal passages were washed with antibiotic and hormone （about 4 times）, the tube was injected with TobraDex after the tube was removed. The symptoms were ob- served in the following 3 months to 2 years. Main Outcome Measures The symptom of epiphora and pus, the situation of lacrimal duct. Results After the tube planting, the lacrimal duct system of totally 65 patients （67 eyes） were able to be irrigated successfully. 49 eyes （73.13%） were cured after the removal of silicone tube during the follow-up period, and the symptom of epiphora and pus disap- peared, there were no serious intra- and post-operative complications. Conclusion Recessive placement of spherical headed silicone tube is an effective method for the most chronic dacryoeystitis.
出处
《眼科》
CAS
2014年第2期126-129,共4页
Ophthalmology in China
关键词
慢性泪囊炎
球头硅胶管
chronic dacryocystitis
spherical headed silicone tube
