CAJ | 학술논문

目的观察泪道激光后运用新型泪道支撑管逆行置管及碘必舒眼膏治疗慢性泪囊炎及泪道阻塞的效果.方法 127例(139眼)其中:慢性泪囊炎55眼、鼻泪管阻塞52眼、泪小管及鼻泪管阻塞23眼、单纯泪小管阻塞9眼.先用倍频Nd:YAG激光疏通泪道阻塞部位后,将新型硅胶泪道支撑管表面涂碘必殊眼膏后逆行置入阻塞的泪道部位.结果术后随访6～12个月,治愈104眼,好转27眼,无效8眼.结论新型泪道支撑管逆行置管联合泪道激光及碘必舒眼膏治疗慢性泪囊炎及泪道阻塞,操作简单、手术安全、疗效可靠、组织损伤小、皮肤不留瘢痕、且可重复手术.
목적 관찰루도격광후운용신형루도지탱관역행치관급전필서안고치료만성루낭염급루도조새적효과.방법 127례(139안)기중:만성루낭염55안、비루관조새52안、루소관급비루관조새23안、단순루소관조새9안.선용배빈Nd:YAG격광소통루도조새부위후,장신형규효루도지탱관표면도전필수안고후역행치입조새적루도부위.결과 술후수방6～12개월,치유104안,호전27안,무효8안.결론 신형루도지탱관역행치관연합루도격광급전필서안고치료만성루낭염급루도조새,조작간단、수술안전、료효가고、조직손상소、피부불류반흔、차가중복수술.
Objective To observe the effect of new lacrimal retrograde catheter combined with lacrimal laser and tobradex eye ointment for chronic dacryocystitis and lacrimal duct obstruction.Methods 127cases( 139 eyes) were observed,among which 55 eyes with chronic dacryocystitis,52 eyes with nasolacrimal duct obstruction,23 eyes with canalicular and nasolacrimal duct obstruction,9 eyes with canalicular obstmction.First,clear the site of obstruction of lacrimal by using Nd:YAG laser,after which the new silicone lacrimal sustained tubes coasted with oculentum of TobraDex were inserted into the blocked lacrimal area.Results Postoperative followed-up for 6 to 12 months:cured in 104 eyes,improved in 27 eyes,invalid in 8eyes.Conclusion We can use lacrimal retrograde catheter joint lacrimal laser and TobraDex to cure chronic dacryocystitis and lacrimal duct obstruction.The surgery is safe,simple and reliable,with no scars,and can be repeated.