CAJ | 학술논문

目的探讨人工鼻泪管植入术和泪道插管术治疗泪道阻塞的临床疗效.方法临床病例对照研究.对2010年10月至2013年2月在河北医科大学第二医院眼科就诊的泪道阻塞病人,A组90例(91只眼)行人工鼻泪管植入术;B组26例(27只眼)行泪道插管术,观察两组疗效.结果随访7～28个月,A组:治愈72只眼,好转10只眼,无效9只眼,总有效率90.11％ (82/91);B组:治愈20只眼,好转2只眼,无效5只眼,总有效率81.48％ (22/27).二组间总有效率比较差异无统计学意义(x2=0.309,P=0.578,P＞0.05).结论人工鼻泪管植入术和泪道插管术治疗泪道阻塞效果好,操作简单、安全,这两种微创泪道手术值得应用和推广.
목적 탐토인공비루관식입술화루도삽관술치료루도조새적림상료효.방법 림상병례대조연구.대2010년10월지2013년2월재하북의과대학제이의원안과취진적루도조새병인,A조90례(91지안)행인공비루관식입술;B조26례(27지안)행루도삽관술,관찰량조료효.결과 수방7～28개월,A조:치유72지안,호전10지안,무효9지안,총유효솔90.11％ (82/91);B조:치유20지안,호전2지안,무효5지안,총유효솔81.48％ (22/27).이조간총유효솔비교차이무통계학의의(x2=0.309,P=0.578,P＞0.05).결론 인공비루관식입술화루도삽관술치료루도조새효과호,조작간단、안전,저량충미창루도수술치득응용화추엄.
Objective To evaluate the clinical effects of artificial nasolacrimal duct implant and lacrimal duct intubation for the treatment of lacrimal duct obstruction.Methods Ninety patients (91eyes) with lacrimal duct obstruction received artificial nasolacrimal duct and 26 patients (27 eyes) received lacrimal duct intubation and their efficacy were analyzed.Results After followed up 7-28months,72 eyes were cured,10 alleviated,and the symptom of 9 eyes had no change in group A; 20 eyes were cured,2 alleviated,and there were still 5 eyes without any improvement in group B.The total effective rate of group A was 90.11％ (82/91),group B was 81.48％ (22/27) respectively,there was no significant difference between the two groups (P ＞0.05).Conclusions Each of the interventional technique of lacrimal duct is a simple safe and effective with minimally invasive new treatment method for lacrimal duct obstruction,and could be applied and promoted at the same time due to their bringing out the best in each other.