中国实用眼科杂志
中國實用眼科雜誌
중국실용안과잡지
CHINESE JOURNAL OF PRACTICAL OPHTHALMOLOGY
2015年
4期
424-426
,共3页
人工鼻泪管%泪囊瘘%皮肤瘘道切除
人工鼻淚管%淚囊瘺%皮膚瘺道切除
인공비루관%루낭루%피부루도절제
Nasolacrimal duct%Lacrimal fistula%Excision of skin fistula
目的 观察逆行人工鼻泪管植入联合皮肤瘘道切除术治疗泪囊瘘的临床疗效.方法 选择2009年1月至2014年3月在南昌大学第二附属医院就诊的泪囊瘘患者52例(52只眼),均为女性,年龄35～85岁,局麻下行逆行人工鼻泪管植入联合皮肤瘘道切除术,术后随访时间1～48月.结果 术后52例患者溢泪、溢脓症状完全缓解,随访l～6月,52例冲洗通畅,流泪、溢脓症状消失,总有效率100％.随访12～24月52例中18例出现溢泪症状,经过探通、激光处理症状消失,2例经过处理后症状未能消失,改行泪囊鼻腔吻合术,术后溢泪症状消失,总有效率96.2％.经36～48月随访(包括电话随访)52例中失访17例,余35例中10例出现溢泪症状,经过探通、激光处理症状消失,3例溢泪、溢脓,无法缓解,行泪囊鼻腔吻合术后症状消失,总有效率91.4％.结论 逆行人工鼻泪管植入术为泪囊瘘患者提供了一种安全,简便、有效的手术方法.
目的 觀察逆行人工鼻淚管植入聯閤皮膚瘺道切除術治療淚囊瘺的臨床療效.方法 選擇2009年1月至2014年3月在南昌大學第二附屬醫院就診的淚囊瘺患者52例(52隻眼),均為女性,年齡35～85歲,跼痳下行逆行人工鼻淚管植入聯閤皮膚瘺道切除術,術後隨訪時間1～48月.結果 術後52例患者溢淚、溢膿癥狀完全緩解,隨訪l～6月,52例遲洗通暢,流淚、溢膿癥狀消失,總有效率100％.隨訪12～24月52例中18例齣現溢淚癥狀,經過探通、激光處理癥狀消失,2例經過處理後癥狀未能消失,改行淚囊鼻腔吻閤術,術後溢淚癥狀消失,總有效率96.2％.經36～48月隨訪(包括電話隨訪)52例中失訪17例,餘35例中10例齣現溢淚癥狀,經過探通、激光處理癥狀消失,3例溢淚、溢膿,無法緩解,行淚囊鼻腔吻閤術後癥狀消失,總有效率91.4％.結論 逆行人工鼻淚管植入術為淚囊瘺患者提供瞭一種安全,簡便、有效的手術方法.
목적 관찰역행인공비루관식입연합피부루도절제술치료루낭루적림상료효.방법 선택2009년1월지2014년3월재남창대학제이부속의원취진적루낭루환자52례(52지안),균위녀성,년령35～85세,국마하행역행인공비루관식입연합피부루도절제술,술후수방시간1～48월.결과 술후52례환자일루、일농증상완전완해,수방l～6월,52례충세통창,류루、일농증상소실,총유효솔100％.수방12～24월52례중18례출현일루증상,경과탐통、격광처리증상소실,2례경과처리후증상미능소실,개행루낭비강문합술,술후일루증상소실,총유효솔96.2％.경36～48월수방(포괄전화수방)52례중실방17례,여35례중10례출현일루증상,경과탐통、격광처리증상소실,3례일루、일농,무법완해,행루낭비강문합술후증상소실,총유효솔91.4％.결론 역행인공비루관식입술위루낭루환자제공료일충안전,간편、유효적수술방법.
Objective To observe therapeutic effect of implantation of artificial nasolacrimal duct association with excision of skin fistula on treatment of lacrimal fistula.Methods Fifty-two patients (52 eyes) with lacrimal fistula that received retrograde artificial nasolacrimal duct implantation and excision of skin fistula from January 2009 to March 2014 in our hospital were selected and successfully followed up from 1 month to 48 months after operation.All were female,aged from 35 years old to 85 years old.Results Complete remission of epiphora and Pyorrhea was observed in 52 patients,followed up for a month,six months,artificial nasolacrimal ducts in 52 patients remained clear,the total effective rate was 100％;followed up from 12 months to 24 months (including telephone follow-up),18 patients appeared epiphora,the symptoms disappeared after treating with probing and laser,two patients received dacryocystorhinostomy who were appeared postoperative epiphora could not disappear by probing and laser,the total effective rate was 96.2％;followed up from 36 months to 48 months (17 eyes lost),among the remaining 35 eyes (including telephone follow-up),10 patients appeared epiphora,the symptoms disappeared after treating with probing and laser,three patients received dacryocystorhinostomy who were appeared postoperative epiphora could not disappear by probing and laser,the total effective rate was 91.4％.Conclusions Retrograde implantation of artificial nasolacrimal duct provides a secure,convenient and effective surgical technique for the lacrimal fistula patients.
