CAJ | 학술논문

目的探讨鼻泪管支架植入治疗鼻泪管阻塞特点及疗效分析.方法采用Cook公司生产的Song601型鼻泪管支架,在泪道和鼻黏膜表麻下经鼻腔逆行植入,治疗鼻泪管阻塞185例(211只眼).术后每日冲洗泪道1周.结果术中均顺利植入鼻泪管支架;经1～32个月术后随访观察,不流泪、冲洗泪道通畅167只眼(占79%),少量泪溢、冲洗泪道通畅19只眼(占9%),总有效率88%.术中、术后早期并发症:泪囊部稍有疼痛感、活动性出血.术后远期并发症:鼻泪管支架伞状部的肉芽组织阻塞、支架滑脱、泪溢症状.结论鼻泪管支架植入术治疗鼻泪管阻塞具有创伤小、手术时间短、术后恢复快等优点.
목적 탐토비루관지가식입치료비루관조새특점급료효분석.방법 채용Cook공사생산적Song601형비루관지가,재루도화비점막표마하경비강역행식입,치료비루관조새185례(211지안).술후매일충세루도1주.결과 술중균순리식입비루관지가;경1～32개월술후수방관찰,불류루、충세루도통창167지안(점79%),소량루일、충세루도통창19지안(점9%),총유효솔88%.술중、술후조기병발증:루낭부초유동통감、활동성출혈.술후원기병발증:비루관지가산상부적육아조직조새、지가활탈、루일증상.결론 비루관지가식입술치료비루관조새구유창상소、수술시간단、술후회복쾌등우점.
Objective To evaluate the clinical effects of nasolacrimal duct stent for the treatment of lacrimal duct obstruction.Methods Using Song 601 nasolacrimal duct stent,sets were placed in 185 cases(211 eyes)with lacrimal duct obstruction, through nasal cavity under topical anaesthesia.Results The technical success rate was 100%.During the follow up of 1 to 32 months,irrigation of duct stent found that 186eyes were unobstructed,the effective rate were 88%.Intra-and post-operative complications:pain of the lacrimal duct,hemorrhage,obstruction or fall of the stent,and lacrimation.Conclusion Intervental technique of nasolacrimal duct stent is a safe and effective procedure for lacrimal duct obstruction.it has the advantages of micro-invasive, short operation time and hospital stay after operation.