鼻内窥镜下联合Nd:YAG激光治疗复发性泪囊炎

Nasal endoscope combined with Nd:YAG laser for recurrent dacryocystitis

摘要:

目的：探讨应用鼻内窥镜下联合Nd：YAG(钇铝石榴石晶体Neodymium-doped Yttrium Aluminium Garnet)激光治疗复发性泪囊炎的可行性，并探讨其临床意义。

方法：患者48例在内窥镜下行泪道探通、Nd：YAG泪道激光、植入硬麻管道，于术后3～6mo拔管，随访3～18mo。

结果：本组48例48眼患者，46眼溢泪症状消失，治愈46眼，有效2眼，治愈率为100%，均无并发症发生。

结论：Nd：YAG激光联合泪道置管治疗复发性泪囊炎并发症少，操作简单，无瘢痕，不影响外观，值得在基层医院推广应用。

Abstract:

AIM: To evaluate the feasibility and significance of nasal endoscope combined with Neodymium-doped Yttrium Aluminium Garnet(Nd:YAG)laser in the treatment of recurrent dacryocystitis.

METHODS: Forty-eight cases(48 eyes)with recurrent dacryocystitis were treated by nasal endoscope combined with Nd:YAG laser. The tubes were kept in place for 3-6mo after operation. The follow-up time was 3-18mo.

RESULTS: Symptoms was completely resolved in 46 eyes and improved in 2 eyes, the cure rate was 100%. There were no other complications.

CONCLUSION: Nasal endoscope combined with Nd:YAG laser provides an ideal therapeutic for recurrent dacryocystitis because of its many advantages such as a few complications, simple operation, no scars on face and so on and is fit for clinical application in primary hospitals.