CAJ | 학술논문

目的总结分析经泪小管980 nm激光泪囊鼻腔造孔术的临床经验.方法回顾于2011年4～10月在成都军区总医院眼科经泪小管980 nm激光泪囊鼻腔造孔联合置管术11例,其中单纯鼻泪管阻塞8例,常规泪囊鼻腔吻合术后复发者3例;术后随访4～19个月,记录手术操作情况,观察手术效果和并发症情况.结果术中骨孔径大小约3 mm,4例次骨孔出口位置不当;取管后8例次冲洗有分泌物,6例次出现泪小管和(或)泪总管狭窄或阻塞;流泪症状明显改善且冲洗通畅者3例.结论有报道经泪小管980 nm激光泪囊鼻腔造孔联合置管术成功率较高,但需要一定的经验和技巧保证足够大的骨孔及合适的位置,避免泪总管热损伤.
목적 총결분석경루소관980 nm격광루낭비강조공술적림상경험.방법 회고우2011년4～10월재성도군구총의원안과경루소관980 nm격광루낭비강조공연합치관술11례,기중단순비루관조새8례,상규루낭비강문합술후복발자3례;술후수방4～19개월,기록수술조작정황,관찰수술효과화병발증정황.결과 술중골공경대소약3 mm,4례차골공출구위치불당;취관후8례차충세유분비물,6례차출현루소관화(혹)루총관협착혹조새;류루증상명현개선차충세통창자3례.결론 유보도경루소관980 nm격광루낭비강조공연합치관술성공솔교고,단수요일정적경험화기교보증족구대적골공급합괄적위치,피면루총관열손상.
Objective To sum up the experience of transcanalicular 980nm laser-assisted dacryocystorhinostomy.Methods Retrospective reviewed 11 cases whom underwent transcanalicular laser-assisted dacryocystorhinostomy combined silicone intubation stenting,including 8 primary nasolacrimal duct obstruction and 3 failed external dacryocystorhinostomy.Follow-up time was 5-17 months.Surgery operation and complication were recorded.Results The size of osteotomys were about 3mm and 4 osteotomys were out of good place.Complications included 8 dacryocystitis,and 6 stenosis or obstruction of lacrimal ductule or common canalicular.Significant improvement of epiphora was achieved in 3 cases at last follow-up.Conclusions The transcanalicular 980nm laser-assisted dacryocystorhinostomy have been reported achieve satisfied success rate.However,experiences are needed for adequate osteotomy size,good location of ostrotomy,avoiding common canalicular thermal injury.