国际眼科杂志
國際眼科雜誌
국제안과잡지
INTERNATIONAL JOURNAL OF OPHTHALMOLOGY
2015年
4期
723-724
,共2页
Smart Plug%泪小管塞%水液缺乏型干眼症%疗效%并发症
Smart Plug%淚小管塞%水液缺乏型榦眼癥%療效%併髮癥
Smart Plug%루소관새%수액결핍형간안증%료효%병발증
Smart Plug%canalicular plug%aqueous-deficient dry eye%efficacy%complication
目的：探讨Smart Plug泪小管塞治疗水液缺乏型干眼症临床疗效。<br> 方法：选取2012-05/2013-04期间我院收治的48例水液缺乏型干眼症患者为研究对象,进行Smart Plug泪小管塞治疗,观察术后临床疗效、基础泪液分泌试验( Schirmer Ⅰtest,SⅠt)、泪膜破裂时间( tear break up time,BUT)、角膜荧光素染色( fluoreseein staining,FL)变化。<br> 结果：本组48例患者,显效31例(65%),有效14例(29%),无效3例(6%),总有效率为94%。治疗前,患者SⅠt,BUT,FL分别为3.49±1.24mm/5min,3.15±1.07s,2.52±0.11分。治疗后,患者SⅠt,BUT,FL均明显改善,与治疗前比较,差异具有统计学意义( P<0.05)。1例患者术后有异物感,8 h后栓子脱落；1例患者于术后8 mo出现肉芽组织,泪小管塞脱落。其余病例无下泪小管感染或肉芽肿。<br> 结论：Smart Plug泪小管塞治疗水液缺乏型干眼症疗效确切,能够有效缓解临床症状,值得临床推广。
目的：探討Smart Plug淚小管塞治療水液缺乏型榦眼癥臨床療效。<br> 方法：選取2012-05/2013-04期間我院收治的48例水液缺乏型榦眼癥患者為研究對象,進行Smart Plug淚小管塞治療,觀察術後臨床療效、基礎淚液分泌試驗( Schirmer Ⅰtest,SⅠt)、淚膜破裂時間( tear break up time,BUT)、角膜熒光素染色( fluoreseein staining,FL)變化。<br> 結果：本組48例患者,顯效31例(65%),有效14例(29%),無效3例(6%),總有效率為94%。治療前,患者SⅠt,BUT,FL分彆為3.49±1.24mm/5min,3.15±1.07s,2.52±0.11分。治療後,患者SⅠt,BUT,FL均明顯改善,與治療前比較,差異具有統計學意義( P<0.05)。1例患者術後有異物感,8 h後栓子脫落；1例患者于術後8 mo齣現肉芽組織,淚小管塞脫落。其餘病例無下淚小管感染或肉芽腫。<br> 結論：Smart Plug淚小管塞治療水液缺乏型榦眼癥療效確切,能夠有效緩解臨床癥狀,值得臨床推廣。
목적：탐토Smart Plug루소관새치료수액결핍형간안증림상료효。<br> 방법：선취2012-05/2013-04기간아원수치적48례수액결핍형간안증환자위연구대상,진행Smart Plug루소관새치료,관찰술후림상료효、기출루액분비시험( Schirmer Ⅰtest,SⅠt)、루막파렬시간( tear break up time,BUT)、각막형광소염색( fluoreseein staining,FL)변화。<br> 결과：본조48례환자,현효31례(65%),유효14례(29%),무효3례(6%),총유효솔위94%。치료전,환자SⅠt,BUT,FL분별위3.49±1.24mm/5min,3.15±1.07s,2.52±0.11분。치료후,환자SⅠt,BUT,FL균명현개선,여치료전비교,차이구유통계학의의( P<0.05)。1례환자술후유이물감,8 h후전자탈락；1례환자우술후8 mo출현육아조직,루소관새탈락。기여병례무하루소관감염혹육아종。<br> 결론：Smart Plug루소관새치료수액결핍형간안증료효학절,능구유효완해림상증상,치득림상추엄。
AIM: To discuss the effect of Smart Plug canalicular plug on aqueous-deficient dryeye. <br> METHODS:Forty-eight cases of aqueous-deficient dry eye patients in our hospital from May 2012 to April 2013 were selected for the study. After treated by Smart Plug canalicular plug, postoperative clinical efficacy, foundation Schirmer I test ( SIt) , tear film break-up time ( BUT ) , corneal fluorescein staining ( FL ) changes were observed. <br> RESULTS: Forty-eight patients were cured, 31 cases were markedly effective(65%), effective 14 cases (29%), invalid in 3 cases (6%), the total effective rate was 94%. Before treatment, SⅠt, BUT, and FL was ( 3. 49±1. 24 ) mm/5min, ( 3. 15±1. 07 ) s, and ( 2. 52±0. 11 ) points, respectively. After treatment, SIt, BUT, FL were significantly improved compared with before treatment, the difference was statistically significant (P<0. 05). One patient had postoperative foreign body sensation, 8h after shedding emboli; One patient granulation tissue after surgery 8mo, canalicular plug off. The remaining cases had no inferior lacrimal duct infection or granuloma. <br> CONCLUSION: Smart Plug canalicular plug is an effective treatment for aqueous-deficient dry eye, can effectively relieve symptoms, worthy of promotion.
