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[摘要]
目的:观察鼻泪管逆植球头硅胶管术治疗慢性泪囊炎的临床疗效,并进行总结。方法:慢性泪囊炎患者65例70眼,局部麻醉下行鼻泪管逆植球头硅胶管术,术后给予全身及局部抗感染治疗。术后连续3d冲洗泪道(1次/d),之后每周冲洗泪道1次,共4次,以后每月冲洗泪道1次,共5次。结果:所有患者术中均成功植入球头硅胶管,平均观察16mo。治愈64眼(91.43%),好转6眼(8.57%),总有效率100%。结论:鼻泪管逆植球头硅胶管术治疗慢性泪囊炎,操作简便、省时,创伤小,效果好,值得临床推广。
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[Abstract]
AIM:To summarize the clinical experience on inverse planting silicone tube with spherical end for treatment effects for chronic dacryoadenitis. METHODS:Sixty-five cases(70 eyes)of chronic dacryocystitis patients were involved and underwent inverse planting silicone tube with spherical end under local anesthesia, then after the surgery they all were received anti-infective treatment. Irrigation of lacrimal passage were performed every day for the first three days, once a week for 4 times, then once a month for 5 times. RESULTS:All the patients were successfully implanted with silicone tube with spherical end. No secretion was found bylacrimal passages irrigating during 16 months observation period. 64 eyes (91.43%) were cured completely, 6 eyes (8.57%) were improved significantly. CONCLUSION:The treatment for chronic dacryocystitis by inversely planting silicone tube with spherical end is a perfect method. It is simple, safe, timesaving, less bleeding without incision, scar and has high successful rate. So this operation is worth being spread widely.
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