中华眼视光学与视觉科学杂志
中華眼視光學與視覺科學雜誌
중화안시광학여시각과학잡지
CHINESE JOURNAL OF OPTOMETRY OPHTHALMOLOGY AND VISUAL SCIENCE
2015年
8期
493-497
,共5页
樊云葳%于刚%曹文红%崔燕辉%吴倩%邵立功
樊雲葳%于剛%曹文紅%崔燕輝%吳倩%邵立功
번운위%우강%조문홍%최연휘%오천%소립공
继发性泪道阻塞%儿童%泪道重建术%泪道插管
繼髮性淚道阻塞%兒童%淚道重建術%淚道插管
계발성루도조새%인동%루도중건술%루도삽관
Acquired nasolacarimal duct obstruction%Child%Lacrimal reconstruction%Lacrimal intubation
目的 评估泪道重建联合Ritleng泪道插管手术治疗儿童结膜炎后继发性泪道阻塞的效果.方法 回顾性系列病例研究.分析2008年7月至2013年12月利用泪道重建联合Ritleng泪道插管治疗的结膜炎致继发性泪道阻塞连续病例43例(49眼)的临床资料.其中男20例(23眼),女23例(26眼),年龄8个月至11岁.所有病例采用全身麻醉下泪道重建联合Ritleng泪道插管手术治疗,根据病情于术后2-6个月拔管,术后随访6~12个月.拔除泪道硅胶管后,泪道冲洗通畅为治愈,泪道冲洗通不畅并偶有流泪为好转,泪道不通为治疗无效.结果 术中探查按阻塞部位分为泪小管阻塞(9眼)、泪总管阻塞(12眼)、鼻泪管阻塞(4眼)、两处及以上部位阻塞(24眼).拔管后治愈32眼(65%),好转10眼(20%),无效7眼(14%).鼻腔出血及鼻翼肉芽肿为主要并发症,分别占28%、41%,对症处理后均痊愈.结论 泪道重建联合Ritleng插管技术是一种简便、安全和有效的治疗儿童结膜炎后继发性泪道阻塞的手术方法.
目的 評估淚道重建聯閤Ritleng淚道插管手術治療兒童結膜炎後繼髮性淚道阻塞的效果.方法 迴顧性繫列病例研究.分析2008年7月至2013年12月利用淚道重建聯閤Ritleng淚道插管治療的結膜炎緻繼髮性淚道阻塞連續病例43例(49眼)的臨床資料.其中男20例(23眼),女23例(26眼),年齡8箇月至11歲.所有病例採用全身痳醉下淚道重建聯閤Ritleng淚道插管手術治療,根據病情于術後2-6箇月拔管,術後隨訪6~12箇月.拔除淚道硅膠管後,淚道遲洗通暢為治愈,淚道遲洗通不暢併偶有流淚為好轉,淚道不通為治療無效.結果 術中探查按阻塞部位分為淚小管阻塞(9眼)、淚總管阻塞(12眼)、鼻淚管阻塞(4眼)、兩處及以上部位阻塞(24眼).拔管後治愈32眼(65%),好轉10眼(20%),無效7眼(14%).鼻腔齣血及鼻翼肉芽腫為主要併髮癥,分彆佔28%、41%,對癥處理後均痊愈.結論 淚道重建聯閤Ritleng插管技術是一種簡便、安全和有效的治療兒童結膜炎後繼髮性淚道阻塞的手術方法.
목적 평고루도중건연합Ritleng루도삽관수술치료인동결막염후계발성루도조새적효과.방법 회고성계렬병례연구.분석2008년7월지2013년12월이용루도중건연합Ritleng루도삽관치료적결막염치계발성루도조새련속병례43례(49안)적림상자료.기중남20례(23안),녀23례(26안),년령8개월지11세.소유병례채용전신마취하루도중건연합Ritleng루도삽관수술치료,근거병정우술후2-6개월발관,술후수방6~12개월.발제루도규효관후,루도충세통창위치유,루도충세통불창병우유류루위호전,루도불통위치료무효.결과 술중탐사안조새부위분위루소관조새(9안)、루총관조새(12안)、비루관조새(4안)、량처급이상부위조새(24안).발관후치유32안(65%),호전10안(20%),무효7안(14%).비강출혈급비익육아종위주요병발증,분별점28%、41%,대증처리후균전유.결론 루도중건연합Ritleng삽관기술시일충간편、안전화유효적치료인동결막염후계발성루도조새적수술방법.
Objective To evaluate the effectiveness of the reconstruction of the lacrimal passage combined with the Ritleng intubation system in the treatment of childen's obstruction of the lacrimal duct secondary to conjunctivitis.Methods In this retrospective cases-series study,43 children (49 eyes) who ranged in age from 8 months to 11 years old participated.All children underwent reconstruction of the lacrimal passage combined with the Ritleng intubation system under general anesthesia.The follow-up period was from 6 to 12 months after surgery.The tubes were left in place between 2 and 6 months depending on the situation.After extubation,clinical success was defined as lacrimal patency,but sometimes there was some lacrimal resistance along with tear drainage.The surgery was considered ineffective if the tear duct was not penetrated.Resalts Based on the obstruction site,all the children were divided into 4 types:lacrimal canalicular obstruction (9 cases),lacrimal duct obstruction (12 eyes),obstruction of the nasolacrimal duct (4 eyes),and complex duct obstruction (24 eyes).After extubation,the overall success rate was 65%(32/49) and the melioration rate was 20%(10/49).On the other hand,the procedure was ineffective in 7 eyes (14%).Conclusion The reconstruction of the lacrimal passage combined with the Ritleng intubation system is a safe and effective procedure for the treatment of secondary nasolacarimal duct obstruction.