应用泪道内窥镜治疗慢性泪囊炎的临床观察

Clinical observation of the treatment for chronic dacryocystitis under lacrimal endoscope

摘要:

目的：探讨泪道内窥镜下泪道微钻疏通治疗慢性泪囊炎的临床疗效。

方法：对60例64眼慢性泪囊炎患者进行泪道内窥镜检查及治疗，并联合全泪道置管，拔管后随诊3～6mo，观察疗效。

结果：64眼中45眼治愈，无溢泪， 泪道冲洗通畅； 13眼好转，轻微溢泪，泪道冲洗通而不畅； 6眼无效，仍流泪，泪道冲洗不通。总的有效率90.6%。

结论：应用泪道内窥镜系统能在直视下对鼻泪管阻塞的情况进行诊断，并有针对性地进行治疗，是一种安全有效的治疗方法。

Abstract:

AIM:To evaluate the clinical efficacy of lacrimal dredge under lacrimal endoscope for treating chronic dacryocystitis.

METHODS: Sixty patients(64 eyes)with chronic dacryocystitis were examined and treated by lacrimal endoscope combined with full lacrimal intubation. All patients were followed up for 3-6 months postoperatively.

RESULTS: Forty-five eyes of 64 eyes were cured, no tears, irrigation of lacrimal passage unobstructed. Thirteen eyes get partly recover, but there were still mild overflow tears, and although lacrimal passages can be flushed, but there were still partly lacrimal duct obstruction. The rest 6 eyes were invalid and still tears, irrigation of lacrimal passage obstructed. The total effective rate was 90.6%.

CONCLUSION: The diagnosis and treatment of nasolacrimal duct obstruction under lacrimal endoscope is a safe and effective way.