Nd：YAG激光联合典必殊眼膏治疗泪道阻塞

The treatment of dacryagogatresia with Nd： YAG laser and TobraDex

目的探讨Nd：YAG激光？目道探通联合泪道内注入药物治疗泪道阻塞的临床疗效。方法应用Nd：YAG激光泪道探通联合泪道内分别注入典必殊眼膏（典必珠组）和生理盐水（生理盐水组），共治疗泪道阻塞患者106例118只眼。随访观察3～6个月。结果典必殊组6个月后冲洗泪道通畅率为94．92％，生理盐水组通畅率为45．76％．两组疗效差异具有显著性（X^2=34．16，P〈0．01）。结论应用Nd：YAG激光泪道探通联合泪道内注入典必殊眼膏是治疗泪道阻塞的简便、安全、有效的方法之一。

Objective To evaluate the effect of the treatment to daeryagogatresia with canalieular plastic surgery using Nd：YAG laser and TobraDex. Methods Canalicular plastic surgery using Nd：YAG laser and injection with TobraDex or physiological saline were performed on 118 eyes with dacryagogatresia. Mean follow up time was 3 -6 months. Results The cure rate of group of TobraDex was 94.92% and significantly higher than that of group of physiological saline （ P 〈 0. 01 ）. Conclusion The method with Nd：YAG laser and TohraDex is effective to dacryagogatresia.