自行设计定制“鱼形针”在泪道植管术中的应用价值

The clinical value of a self-designed'fish-like’probe on lacrimal duct intubation

目的探讨"鱼形针"在泪道植管术中的应用价值。方法单纯慢性鼻泪管阻塞51眼,复杂性泪道阻塞19眼,急性泪囊炎3眼,采用自行设计定制的"鱼形针"配合送管器,将硅胶管植入鼻泪管和泪囊,随访6～18月。结果 73眼中67眼(91.7%)无溢泪、泪道冲洗通畅,6眼有流泪症状(8.2%)、泪道冲洗欠通畅。单纯慢性鼻泪管阻塞平均手术时间为3分钟。手术操作后多数患者无明显鼻腔出血。结论鱼形针与送管器配合硅胶管置入术无需使用鼻镜、额镜等观察器械来辅助,是治疗鼻泪管阻塞,慢性泪囊炎的一种安全、可靠、方便、快捷、并发症少、复发率低的治疗方法 ,而且在急性泪囊炎的治疗中疗效满意。

Objectives To discuss the Clinical Value of a self-designed ＇ fish-like＇ probe on lacrimal duct intubation. Methods Patients （51 eyes） with simplex chronicus nasolacrimal duct obstruction, 19 eyes with lacrimal duct obstruction and 3 eyes with acute dacryocystitis were treated with silicone tube catheterized by using of a self-designed ＇ fish-like＇ probe combined with tube introducer, and were followed up for 6 - 18 months. Results epiphora didn＇t occurred in 67 of 73 eyes, and lacrimal duct were unobstructed; epiphora occurred in 6 of 73 eyes, and lacrimal duct were insufficiently unobstructed. Average operation time of simplex chronicus nasolacrimal duct obstruction was 3 min. the majority had no obvious epistaxis after the operation. Conclusions It is a safe,effective,convenient and rapid therapeutic means to treat nasolacrimal duct obstruction by using the self-designed ＇ fish-like＇ probe and tube introducer without nasal endoscopy,head mirror. Furthermore the treatment of acute dacryocystitis by using the same also has satisfactory effect.