CAJ | 학술논문

目的探讨新型泪道探通针泪道探通后逆行置管的临床效果。方法收集我院2012年6月至2013年10月在我院确诊为泪道疾病需行逆行置管治疗的门诊患者106例（133只眼），doll’s随机数字法分为观察组53例（68只眼）和对照组53例（65只眼）。对照组采用传统钢针进行泪道探通，观察组采用新型泪道探通针探通，而后进行逆行置管。观察两组治疗有效率，置管成功率，自行脱管率，并发症发生情况。结果两组置管成功率及并发症（鼻腔出血、下睑肿胀）比较， P ＜0．05，差异具有统计学意义；术后6个月内两组置管自行脱落人数经统计学分析，P ＜0．05，差异具有统计学意义；术中观察组因痛疼需追加麻醉者2例，对照组9例，经比较，P ＜0．05，差异具有统计学意义。两组治疗有效率情况经Ridit 分析发现，观察组稍优于对照组（观察组＜对照组），两组R 的95％置信区间均不包含0．5，差异具有统计学意义。结论新型泪道探通针泪道探通及鼻泪管义管置管术，价廉，操作简单，术中损伤小，患者更易接受，值得推广。
목적탐토신형루도탐통침루도탐통후역행치관적림상효과。방법수집아원2012년6월지2013년10월재아원학진위루도질병수행역행치관치료적문진환자106례（133지안），doll’s수궤수자법분위관찰조53례（68지안）화대조조53례（65지안）。대조조채용전통강침진행루도탐통，관찰조채용신형루도탐통침탐통，이후진행역행치관。관찰량조치료유효솔，치관성공솔，자행탈관솔，병발증발생정황。결과량조치관성공솔급병발증（비강출혈、하검종창）비교， P ＜0．05，차이구유통계학의의；술후6개월내량조치관자행탈락인수경통계학분석，P ＜0．05，차이구유통계학의의；술중관찰조인통동수추가마취자2례，대조조9례，경비교，P ＜0．05，차이구유통계학의의。량조치료유효솔정황경Ridit 분석발현，관찰조초우우대조조（관찰조＜대조조），량조R 적95％치신구간균불포함0．5，차이구유통계학의의。결론신형루도탐통침루도탐통급비루관의관치관술，개렴，조작간단，술중손상소，환자경역접수，치득추엄。
Objective To investigate the clinical effect of retrograde catheterization after probing of lacrimal pas-sage with a new type probing needle. Methods Author enrolled 106 patients (133 eyes)who were diagnosed with lacri-mal duct diseases and needed the retrograde catheterization in our hospital from June 2012 to October 2013. Patients were divided into two groups randomly. Fifty-three patients (68 eyes)received lacrimal passage probing with a new type of probe,and the other 53 patients (65 eyes)served as control by probing with a traditional needle. After probing,all pa-tients underwent retrograde catheterization. We observed the treatment efficiency,success rate of catheterization,rate of self-decannulation and the complications. Results There were significant differences in success rate of catheterization and the complications (nasal bleeding,lower eyelid swelling)between two groups (P < 0. 05). Rate of self-decannulation at 6 month was significantly different (P < 0. 05). There were 2 patients needed additional anesthesia in observation group, and 9 patients needed additional anesthesia in control group (P < 0. 05). The effective rate was slightly better in patients received probing with a new type of probe,revealed by using Ridit analysis,but this difference was not significant. Con-clusion The new type lacrimal passage probing is an inexpensive,simple,and safe treatment. Patients are more likely to accept it.