泪道逆行置管治疗慢性泪囊炎临床观察

Observation of retrograde lacrimal intubation for treatment of chronic dacryocystitis

摘要:

目的：评价泪道逆行置管术治疗慢性泪囊炎的有效性、安全性。 方法：选取2009-12/2011-12来本院就诊的慢性泪囊炎患者42例42眼，在局部麻醉下将泪道再通管逆行置入鼻泪管内，术后3~6mo拔管，拔管后随访6mo，观察其有效性及并发症发生情况。 结果：所有42例患者均顺利置入泪道再通管，常规3~6mo拔管。42例患者中40例患者拔管时泪道冲洗通畅。拔管后6mo有效率88%，发生并发症3例。 结论：泪道逆行置管治疗慢性泪囊炎操作简单，适用范围广，有较好的有效性及安全性,值得推广。

Abstract:

AIM:To evaluate the safety, efficacy of retrograde lacrimal intubation for treatment of chronic dacryocystitis. METHODS:This study included 42 cases (42 eyes) with chronic dacryocystitis from December 2009 to December 2011. The procedure of retrograde intubation was performed in local anesthesia. All cases were received retrograde lacrimal intubation, and the tube was removed after placing 3-6 months. The efficacy and the complication were observed. RESULTS:All operations on patients were conducted successfully, and the tube was removed after placing 3-6 months. 40 out of 42 caess the lacrimal were unobstructed when the tube was removed. 6 months after the tube was removed, the effective rate was 88%.3 cases occurred complication. CONCLUSION: The results show that retrograde lacrimal intubation is a safe, easy and effective method on treating chronic dacryocystitis, which is suitable for clinical application.