国际眼科杂志
國際眼科雜誌
국제안과잡지
INTERNATIONAL JOURNAL OF OPHTHALMOLOGY
2015年
2期
354-356
,共3页
泪道激光塑形术%泪道阻塞%硅油填充%眼膏填充
淚道激光塑形術%淚道阻塞%硅油填充%眼膏填充
루도격광소형술%루도조새%규유전충%안고전충
laser plastic%lacrimal duct obstruction%silicone oil filling%eye ointment filling
目的：：对比硅油填充及眼膏填充应用于泪道激光成形术的疗效差别。方法：确诊泪道阻塞(不含慢性泪囊炎)患者102例134眼,随机分为两组,一组60眼行激光泪道成形联合硅油填充,另一组74眼行激光泪道成形联合眼膏填充,对比治疗3 mo后两组疗效及冲洗和探通的次数,评估方法优劣。结果：术后3mo,硅油组有效率87%,眼膏组有效率84%,两组比较差异无统计学意义(P>0.05)；术后3mo冲洗次数硅油组7.20±1.22次、眼膏组7.96±1.79次,探通次数硅油组0.62±0.87次、眼膏组1.43±1.48次；两组冲洗及探通次数比较差异均有统计学意义(均P<0.05)。结论：作为泪道激光术后填充物,硅油不仅具有与眼膏接近的效果,而且可明显减少术后复诊冲洗及探通的次数。
目的：：對比硅油填充及眼膏填充應用于淚道激光成形術的療效差彆。方法：確診淚道阻塞(不含慢性淚囊炎)患者102例134眼,隨機分為兩組,一組60眼行激光淚道成形聯閤硅油填充,另一組74眼行激光淚道成形聯閤眼膏填充,對比治療3 mo後兩組療效及遲洗和探通的次數,評估方法優劣。結果：術後3mo,硅油組有效率87%,眼膏組有效率84%,兩組比較差異無統計學意義(P>0.05)；術後3mo遲洗次數硅油組7.20±1.22次、眼膏組7.96±1.79次,探通次數硅油組0.62±0.87次、眼膏組1.43±1.48次；兩組遲洗及探通次數比較差異均有統計學意義(均P<0.05)。結論：作為淚道激光術後填充物,硅油不僅具有與眼膏接近的效果,而且可明顯減少術後複診遲洗及探通的次數。
목적：：대비규유전충급안고전충응용우루도격광성형술적료효차별。방법：학진루도조새(불함만성루낭염)환자102례134안,수궤분위량조,일조60안행격광루도성형연합규유전충,령일조74안행격광루도성형연합안고전충,대비치료3 mo후량조료효급충세화탐통적차수,평고방법우렬。결과：술후3mo,규유조유효솔87%,안고조유효솔84%,량조비교차이무통계학의의(P>0.05)；술후3mo충세차수규유조7.20±1.22차、안고조7.96±1.79차,탐통차수규유조0.62±0.87차、안고조1.43±1.48차；량조충세급탐통차수비교차이균유통계학의의(균P<0.05)。결론：작위루도격광술후전충물,규유불부구유여안고접근적효과,이차가명현감소술후복진충세급탐통적차수。
To compare the adjuvant therapeutic effect of silicone oil and ointment applied to the lacrimal laser angioplasty.METHODS: Totally, 134 eyes of 102 cases who were diagnosed as lacrimal duct obstruction ( except chronic dacryocystitis) were divided into two groups. Sixty eyes were performed laser plastic operation and silicone oil filling. Seventy - four eyes were adopted laser plastic operation with cloth enzyme dexamethasone eye ointment filling. All patients were followed up for 3 ~ 15mo. The clinical effect and the number of irrigation of two groups were compared 3mo after treatment, and to assess the merits of the method.RESULTS: The efficiency of the silicone oil group was 87% and that of the eye ointment group was 84%. There was no statistically significant difference (P>0. 05). The number of lacrimal duct flushing of the silicone oil group was 7. 20±1. 22 times among postoperative 3mo, and that of the eye ointment group was 7. 96 ± 1. 79 times. The number of lacrimal duct exploration through of the silicone oil group was 0. 62 ± 0. 87 times, that of the eye ointment group was 1. 43 ± 1. 48 times. There was statistically significant differences compared between the two groups (both P<0. 05).CONCLUSlON:The effect of laser plastic operation and silicone oil filling treating obstructive diseases of lacrimal duct is similar to laser plastic operation with cloth enzyme dexamethasone eye ointment, but the postoperative care of the former is more simple. Patients can significantly reduce the frequency of lacrimal duct flushing and lacrimal duct exploration through.
