人工鼻泪管植入术与泪道插管术疗效分析

Clinical observation on treatment of interventional implantation with artificial nasolacrimal duct and lacrimal duct intubation for lacrimal duct obstruction

目的探讨人工鼻泪管植入术和泪道插管术治疗泪道阻塞的临床疗效。方法临床病例对照研究。对2010年10月至2013年2月在河北医科大学第二医院眼科就诊的泪道阻塞病人，A组90例（91只眼）行人工鼻泪管植入术；B组26例（27只眼）行泪道插管术，观察两组疗效。结果随访7—28个月，A组：治愈72只眼，好转10只眼，无效9只眼，总有效率90．11％（82／91）；B组：治愈20只眼，好转2只眼，无效5只眼，总有效率81．48％（22／27）。二组问总有效率比较差异无统计学意义（X2=0．309，P=0．578，P〉0．05）。结论人工鼻泪管植入术和泪道插管术治疗泪道阻塞效果好，操作简单、安全，这两种微创泪道手术值得应用和推广。

Objective To evaluate the clinical effects of artificial nasolacrimal duct implant and lacrimal duct intubation for the treatment of lacrimal duct obstruction. Methods Ninety patients （91 eyes） with lacrimal duct obstruction received artificial nasolacrimal duct and 26 patients （27 eyes） re- ceived lacrimal duct intubation and their efficacy were analyzed. Results After followed up 7-28 months, 72 eyes were cured, 10 alleviated, and the symptom of 9 eyes had no change in group A; 20 eyes were cured, 2 alleviated, and there were still 5 eyes without any improvement in group B. The total effective rate of group A was 90.11% （82/91）, group B was 81.48% （22/27） respectively, there was no significant difference between the two groups （P 〉0.05）. Conclusions Each of the in- terventional technique of lacrimal duct is a simple, safe and effective with minimally invasive new treatment method for lacrimal duct obstruction, and could be applied and promoted at the same time due to their bringing out the best in each other.