CAJ | 학술논문

目的探讨鼻内窥镜下逆行泪道支架植入术的临床疗效.方法回顾性系列病例研究.2007年12月至2010年6月在安徽省安庆市第二人民医院眼科就诊鼻泪管阻塞患者共93例(101眼),在鼻内窥镜协助下,将泪道支架逆行植入鼻泪管,使阻塞泪道通畅,手术植入成功率及术后疗效采用百分比表示.结果 100眼一次植入成功,1眼因泪道探通时造成假道,于1周后再次植入成功.本组病例植入成功率为100％.术后随访6个月～2年,其中显效83眼(82％),好转14眼(14％),无效4眼(4％).结论鼻内窥镜协助下植入泪道支架可缩短术程,显著提高手术成功率和疾病的远期治愈率.
목적 탐토비내규경하역행루도지가식입술적림상료효.방법 회고성계렬병례연구.2007년12월지2010년6월재안휘성안경시제이인민의원안과취진비루관조새환자공93례(101안),재비내규경협조하,장루도지가역행식입비루관,사조새루도통창,수술식입성공솔급술후료효채용백분비표시.결과 100안일차식입성공,1안인루도탐통시조성가도,우1주후재차식입성공.본조병례식입성공솔위100％.술후수방6개월～2년,기중현효83안(82％),호전14안(14％),무효4안(4％).결론 비내규경협조하식입루도지가가축단술정,현저제고수술성공솔화질병적원기치유솔.
Objective To investigate the clinical efficacy of retrograde lacrimal duct support implanted with a nasal endoscope.Methods This was a restrospective case-series study.During a 30-month period (Dec 2007-June 2010),93 cases (101 eyes) of nasolacrimal duct obstruction underwent retrograde lacrimal duct stent placement with the help of a nasal endoscope to open obstructed lacrimal passages.The patients were assessed and grouped according the procedure's level of effectiveness.Results Lacrimal duct support was implanted successfully in all patients.The follow-up period lasted for 6-24 months.The procedure was markedly effective in 83 eyes (82％),effective in 14 eyes (14％),and not effective in 4 eyes (4％).Conclusion The use of lacrimal duct support can shorten surgical procedures and significantly improve the success rate and long-term clinical outcomes.