新型逆行插管治疗泪道梗阻的临床体会

中国实用眼科杂志 Pub Date : 2017-09-10 DOI:10.3760/CMA.J.ISSN.1006-4443.2017.09.005

Panzi Qiu

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引用次数: 0

摘要

目的探讨新型逆行气管插管治疗泪道梗阻的效果。方法2012年3月至2014年12月对53例泪管阻塞或慢性泪囊炎患者(57眼)行局麻下新型逆行气管插管。所有患者术后均冲洗泪道系统，术后3-12个月内拔除插管。拔管后3-24个月观察插管位置、清洁度、泪表、泪囊分泌等体征。结果手术成功52例(56眼)，失败1例(1眼)。经随访，治愈41例(43眼)，好转7例(9眼)，无效4例(4眼)，总有效率91.23%。术后并发症8例(8眼)，其中肉芽增生1例(1眼)，泪点劈裂2例(2眼)，残端残留3例(3眼)，泪显2例(2眼)。结论新型逆行气管插管是治疗泪管阻塞和慢性泪囊炎的一种快速、安全、简便的方法。关键词:逆行泪道插管;泪管阻塞;慢性泪囊炎

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Clinical experience in the novel retrograde intubation procedure for treatment of lacrimal duct obstruction

Objective To evaluate the novel retrograde intubation procedure for treatment of lacrimal duct obstruction. Methods From March 2012 to December 2014, a total of 53 patients (57 eyes) with lacrimal duct obstruction or chronic dacryocystitis in our hospital were undewent the nov-el retrograde intubation procedure under local anesthesia.All patients were irrigated the lacrimal systems after the operation, and the intubations were removed within 3-12 months postoperatively. The location of intubation, cleanliness, epiphora, secretion from lacrimal sac and other signs of these patients were observed 3-24 months after the intubations were removed. Results 52 cases (56 eyes) were successfully performed and 1 case (1 eye) was failed. After follow-up, 41 cases (43 eyes) were cured, 7 cases (9 eyes) were improved, 4 cases (4 eyes) were ineffective, and the total effective rate was 91.23%. 8 cases (8 eyes) occurred postoperative complications, including 1 case (1 eye) with granulation proliferation, 2 cases (2 eyes) with lacrimal punctum split, 3 cases (3 eyes) with stump residue, and 2 cases (2 eyes) with epiphora. Conclusions The novel retrograde intubation procedure is a quick, safe and easy treatment of lacrimal duct obstruction and chronic dacryocystitis. Key words: Retrograde lacrimal intubation; Lacrimal duct obstruction; Chronic dacryocystitis

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来源期刊

中国实用眼科杂志

自引率

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发文量

9101

期刊介绍： China Practical Ophthalmology was founded in May 1983. It is supervised by the National Health Commission of the People's Republic of China, sponsored by the Chinese Medical Association and China Medical University, and publicly distributed at home and abroad. It is a national-level excellent core academic journal of comprehensive ophthalmology and a series of journals of the Chinese Medical Association. China Practical Ophthalmology aims to guide and improve the theoretical level and actual clinical diagnosis and treatment ability of frontline ophthalmologists in my country. It is characterized by close integration with clinical practice, and timely publishes academic articles and scientific research results with high practical value to clinicians, so that readers can understand and use them, improve the theoretical level and diagnosis and treatment ability of ophthalmologists, help and support their innovative development, and is deeply welcomed and loved by ophthalmologists and readers.