CAJ | 학술논문

目的探讨激光泪道成形联合药膏灌注术后不同首次泪道冲洗时间对其疗效的影响.方法泪道阻塞患者75例(75眼)均行激光泪道成形联合药膏灌注术,术后按随机数字表法分为第1天冲洗组(A组)、第3天冲洗组(B组)、第6天冲洗组(C组),每组25例,三组以相同的冲洗频率和不同首次冲洗时间进行泪道冲洗,随访观察12个月,分析对比三组的疗效.结果术后6个月,A组疗效较B组及C组差(P＜0.05),C组疗效与B组相近(P＞0.05);术后12个月,A组疗效与B组相近(P＞0.05),C组疗效比A组、B组好(P＜0.05).结论激光泪道成形联合药膏灌注术后适当延迟泪道冲洗可提高激光泪道成形术疗效,过早冲洗可增加再次泪道阻塞的发生,降低其治愈率.
목적 탐토격광루도성형연합약고관주술후불동수차루도충세시간대기료효적영향.방법 루도조새환자75례(75안)균행격광루도성형연합약고관주술,술후안수궤수자표법분위제1천충세조(A조)、제3천충세조(B조)、제6천충세조(C조),매조25례,삼조이상동적충세빈솔화불동수차충세시간진행루도충세,수방관찰12개월,분석대비삼조적료효.결과 술후6개월,A조료효교B조급C조차(P＜0.05),C조료효여B조상근(P＞0.05);술후12개월,A조료효여B조상근(P＞0.05),C조료효비A조、B조호(P＜0.05).결론 격광루도성형연합약고관주술후괄당연지루도충세가제고격광루도성형술료효,과조충세가증가재차루도조새적발생,강저기치유솔.
Objective To investigate the curative effect of different time of irrigating after endolacrimal recanalisation surgery by Nd:YAG laser combining eye ointment stuffing. Methods Seventy-five cases (75 eyes) of lacrimal duct obstruction, which received endo-lacrimal recanalisation surgery by Nd:YAG laser combining eye ointment stuffing were divided into three groups by random digits table with 25 cases in each group. Group A received irrigating: the first day postoperative, consecutive 3 days,followed by once a week till a month. Group B received irrigating:the third day postoperative, consecutive 3 days,followed by once a week till a month. Group C received irrigating:the sixth day postoperative, consecutive 3 days, followed by once a week till a month. Followed-up survey for 12 months at the ophthalmologic outpatient clinic,the curative effect in each group was compared. Results In 6 months after surgery, the comparison of the curative effect was no statistical difference between group B and group C (P＞ 0.05), while the curative effects in group B and group C was superior to that in group A (P ＜ 0.05). In 12 months after surgery, the curative effect in group C was better than that in group A and B, the difference were statistically significant (P＜0.05). But there was no statistical significance compared with group A and group B (P＞0.05). Conclusions Properly delayed irrigating may improve the curative effect after endo-lacrimal recanalisation surgery by Nd:YAG laser combining eye ointment stuffing, while easier irrigating can increase the incidence of re-blockage of lacrimal duct and reduce the efficacy.