CAJ | 학술논문

目的观察硅胶泪道引流管联合泪道支撑管同时置入治疗复杂性泪道阻塞的临床效果.方法作者设计了一种“顺逆联合全泪道置管术”,即硅胶泪道引流管联合泪道支撑管同时置入术.并进行复杂性泪道阻塞手术26例(26眼),包括泪小管阻塞合并鼻泪管阻塞16例,泪小管狭窄合并慢性泪囊炎7例,泪小管、泪总管和鼻泪管同时阻塞3例.术后定期复查冲洗泪道,3个月时拔管.术后随访3 ～12个月,观察患者的症状和泪道冲洗的情况.结果 26例手术均顺利完成,术中、术后无并发症出现.治愈21眼(80.77％),好转3眼(11.54％),无效2眼(7.69％).结论顺逆联合全泪道置管手术治疗复杂性泪道阻塞效果可靠.
목적 관찰규효루도인류관연합루도지탱관동시치입치료복잡성루도조새적림상효과.방법 작자설계료일충“순역연합전루도치관술”,즉규효루도인류관연합루도지탱관동시치입술.병진행복잡성루도조새수술26례(26안),포괄루소관조새합병비루관조새16례,루소관협착합병만성루낭염7례,루소관、루총관화비루관동시조새3례.술후정기복사충세루도,3개월시발관.술후수방3 ～12개월,관찰환자적증상화루도충세적정황.결과 26례수술균순리완성,술중、술후무병발증출현.치유21안(80.77％),호전3안(11.54％),무효2안(7.69％).결론 순역연합전루도치관수술치료복잡성루도조새효과가고.
Objective To observe the clinical efficacy of silicone lacrimal drainage tube combined with retrograde stent tube placement for complex lacrimal duct obstruction.Methods Twenty-six eyes of 26 cases of complex lacrimal duct obstruction were observed,including 16 eyes with both lacrimal canaliculus and nasolacrimal duct obstruction,7 eyes with lacrimal canaliculus stenosis and chronic dacryocystitis and 3 eyes with lacrimal canaliculus,common canaliculus and nasolacrimal duct obstruction.They underwent combined lacrimal duct operation.All patients were followed up for 3 ～ 12 months.Periodic irrigation of lacrimal passage after operation were conducted,and the tubes were extracted 3 months after surgery.Symptoms and lacrimal duct irrigation condition of patients was observed.Results All the 26 eyes were successfully operated without any complication during operation.Finally 21 eyes were cured (80.77％),3 eyes improved (11.54％) and 2 eyes invalid (7.69％).Conclusion Combined antegrade and retrograde whole lacrimal duct intubation is reliable in treatment of complex obstruction of lacrimal ducts.