国际眼科杂志
國際眼科雜誌
국제안과잡지
International Eye Science
2015年
11期
2012-2014
,共3页
泪囊炎%复发%半导体激光%人工泪道插管%吻合口再通
淚囊炎%複髮%半導體激光%人工淚道插管%吻閤口再通
루낭염%복발%반도체격광%인공루도삽관%문합구재통
dacryocystitis%recurrent%semiconductor laser%artificial canalicular intubation%anastomotic patency
目的：：研究泪囊炎复发患者的治疗方案,以期为临床诊治提供一定的参考。方法：选取2012-03/2015-03间入院诊治的复发泪囊炎患者80例80眼。根据随机数表法将患者分为试验组(40例)和对照组(40例),其中试验组应用泪道激光吻合口成形联合U形泪道扩张管植入术治疗,对照组应用常规经皮肤切口的泪囊鼻腔吻合术治疗。观察两组患者的治疗效果与手术指标。结果：试验组经治疗后治愈28例,好转5例,总有效率为82%；对照组治愈15例,好转13例,总有效率为70%。试验组手术时间为40.06±1.35min,术中出血量5.37±1.28mL,留院观察26.28±3.42h；对照组则分别为90.14±2.61min,14.47±6.19mL,98.14±10.53h。结论：泪道激光吻合口成形联合U形泪道扩张管,较之常规经皮肤切口的泪囊鼻腔吻合术对于复发性泪囊炎患者的治疗效果更好,具有损伤小、操作性高、安全性好、治愈率高等优点。
目的：：研究淚囊炎複髮患者的治療方案,以期為臨床診治提供一定的參攷。方法：選取2012-03/2015-03間入院診治的複髮淚囊炎患者80例80眼。根據隨機數錶法將患者分為試驗組(40例)和對照組(40例),其中試驗組應用淚道激光吻閤口成形聯閤U形淚道擴張管植入術治療,對照組應用常規經皮膚切口的淚囊鼻腔吻閤術治療。觀察兩組患者的治療效果與手術指標。結果：試驗組經治療後治愈28例,好轉5例,總有效率為82%；對照組治愈15例,好轉13例,總有效率為70%。試驗組手術時間為40.06±1.35min,術中齣血量5.37±1.28mL,留院觀察26.28±3.42h；對照組則分彆為90.14±2.61min,14.47±6.19mL,98.14±10.53h。結論：淚道激光吻閤口成形聯閤U形淚道擴張管,較之常規經皮膚切口的淚囊鼻腔吻閤術對于複髮性淚囊炎患者的治療效果更好,具有損傷小、操作性高、安全性好、治愈率高等優點。
목적：：연구루낭염복발환자적치료방안,이기위림상진치제공일정적삼고。방법：선취2012-03/2015-03간입원진치적복발루낭염환자80례80안。근거수궤수표법장환자분위시험조(40례)화대조조(40례),기중시험조응용루도격광문합구성형연합U형루도확장관식입술치료,대조조응용상규경피부절구적루낭비강문합술치료。관찰량조환자적치료효과여수술지표。결과：시험조경치료후치유28례,호전5례,총유효솔위82%；대조조치유15례,호전13례,총유효솔위70%。시험조수술시간위40.06±1.35min,술중출혈량5.37±1.28mL,류원관찰26.28±3.42h；대조조칙분별위90.14±2.61min,14.47±6.19mL,98.14±10.53h。결론：루도격광문합구성형연합U형루도확장관,교지상규경피부절구적루낭비강문합술대우복발성루낭염환자적치료효과경호,구유손상소、조작성고、안전성호、치유솔고등우점。
?AlM:To study the treatment of patients with recurrent dacryocystitis to provide a reference for clinical diagnosis and treatment.?METHODS:Eighty patients ( 80 eyes ) with recurrent dacryocystitis admitted to our hospital for diagnosis and treatments from March 2012 to March 2015 were selected. According to a random number table, they were divided into experimental group (40 cases) and control group (40 cases ) . The experimental group received laser dacryocystorhinostomy combined with U-shaped lacrimal duct implantation. Patients in control group were treated with conventional dacryocystorhinostomy with skin incision. The effect of the treatments and surgical indicators of the two groups were observed and compared.?RESULTS:ln experimental group, there were 28 cases were cured after treatment, 5 cases were improved, the total effective rate was 82%. ln control group, there were 15 cases were cured, 13 cases were improved, the total effective rate was 70%. The operation time of experimental group was 40. 06 ± 1. 35min, blood loss was 5. 37 ± 1. 28mL, the time of remaining in hospital under observation was 26. 28 ± 3. 42h;those of the control group were 90. 14 ± 2. 61min, 14. 47 ± 6. 19mL, 98. 14 ± 10. 53h, respectively.?CONCLUSlON:Laser dacryocystorhinostomy combined with U - shaped lacrimal duct implantation is more effective, more easy to operate, safer and has less injury and higher cure rate.
