泪道逆行插管术治疗慢性泪囊炎

Nursing experience of retrograde catheteri-zation in chronic dacryocystitis

目的:总结48例慢性泪囊炎泪道阻塞患者行泪道逆行插管术的护理经验。方法:对48例患者行泪道逆行插管术,术前术中术后给予眼科专业护理。结果:术后48眼患者泪道全部恢复通畅,术后3mo硅胶管脱落2例,但随诊泪道冲洗通畅。拔管后2a内泪道再阻塞3例,2例通过再次逆行插管恢复通畅。结论:泪道逆行插管术是治疗泪道阻塞的有效方法,专业细致的眼科护理是该手术成功的重要保障。

AIM： To summarise the nursing experience of retro-grade catheterization in 48 cases with chronic dacryo-cystitis diseases. METHODS： All the 48 cases were carried out the operation of retrograde catheterization. During the whole process, they received meticulous care. RESULTS： All the lacrimal passages of 48 cases became patency after the operation. Two cases＇ silicone tube slipped off three months later, however, their lacrimal passages were still patency. Three cases＇ lacrimal passages became restenosis two years later, two cases became recanalization through the same operation. CONCLUSION： Retrograde catheterization is an effective treatment for chronic dacryocystitis diseases, and meticulous care is an important guarantee for this operation.