中国实用眼科杂志
中國實用眼科雜誌
중국실용안과잡지
CHINESE JOURNAL OF PRACTICAL OPHTHALMOLOGY
2008年
11期
1230-1231
,共2页
沈素民%张晓俊%袁鹂%薛信君%刘锦
瀋素民%張曉俊%袁鸝%薛信君%劉錦
침소민%장효준%원리%설신군%류금
内窥镜%鼻泪管阻塞
內窺鏡%鼻淚管阻塞
내규경%비루관조새
Endoseoply%Nasolaerimal duet obstruction
目的 研究泪道内窥镜治疗鼻泪管阻塞的临床疗效.方法 对自2007年2~11月选择了52例71只眼鼻泪管阻塞患者,在局麻下,扩张泪点后将泪道内窥镜按常规泪道探通法插入泪道,监视器屏幕直视下找到鼻泪管阻塞部位.直视下以微型环钻、激光清除阻塞处组织,使泪道完全通畅后,将硅胶管插入泪道鼻泪管并固定于鼻泪管内.结果 52例(71只眼)鼻泪管阻塞患者在泪道内窥镜下联合硅胶管植入治疗后,随访3~6个月,治愈69只眼,治愈率达97.1%.结论 在泪道内窥镜下,可以直接观察泪道内部情况,找到阻塞部位,能进行损伤最小的治疗,恢复鼻泪管的生理结构,术后反应轻,临床再通率高,是理想的治疗方法.
目的 研究淚道內窺鏡治療鼻淚管阻塞的臨床療效.方法 對自2007年2~11月選擇瞭52例71隻眼鼻淚管阻塞患者,在跼痳下,擴張淚點後將淚道內窺鏡按常規淚道探通法插入淚道,鑑視器屏幕直視下找到鼻淚管阻塞部位.直視下以微型環鑽、激光清除阻塞處組織,使淚道完全通暢後,將硅膠管插入淚道鼻淚管併固定于鼻淚管內.結果 52例(71隻眼)鼻淚管阻塞患者在淚道內窺鏡下聯閤硅膠管植入治療後,隨訪3~6箇月,治愈69隻眼,治愈率達97.1%.結論 在淚道內窺鏡下,可以直接觀察淚道內部情況,找到阻塞部位,能進行損傷最小的治療,恢複鼻淚管的生理結構,術後反應輕,臨床再通率高,是理想的治療方法.
목적 연구루도내규경치료비루관조새적림상료효.방법 대자2007년2~11월선택료52례71지안비루관조새환자,재국마하,확장루점후장루도내규경안상규루도탐통법삽입루도,감시기병막직시하조도비루관조새부위.직시하이미형배찬、격광청제조새처조직,사루도완전통창후,장규효관삽입루도비루관병고정우비루관내.결과 52례(71지안)비루관조새환자재루도내규경하연합규효관식입치료후,수방3~6개월,치유69지안,치유솔체97.1%.결론 재루도내규경하,가이직접관찰루도내부정황,조도조새부위,능진행손상최소적치료,회복비루관적생리결구,술후반응경,림상재통솔고,시이상적치료방법.
Objective To study the lacrimal endoscopic treatment of nasolaerimal duet obstruction clinical efficacy.Methods Since February 2007 to November selected 52 eases (71 eyes)with nasolacrimal duct obstruction,under local anesthesia.Expansion and lacrimal puncture conventional endoscope lacrimal probing into tears Road,under a monitor screen to find nasolacrimal duet obstruction site.Central to micro-surgery and drilling, or laser removal of the obstruction, the lacrimal completely unobstructed,will be silicone tube inserted lacrimal nasolaerimal duet and fixed within the nasolaerimal duct.Results Nasolacrimal duct obstruction in patients with lacrimal endoscopic ring drill for the treatment, follow-up of 3-6 months, 69 cured, the cure rate was 97.1%.Coneluaian The lacrimal endoscope can be directly observed lacrimal internal situation and find obstructive sites can minimize damage to the treatment,rehabilitation nasolacrimal duct physiological structure, light reaction after clinical pateney rate is desirable treatment methods.