两种方法治疗鼻泪管阻塞疗效比较

Effects comparison between two methods in treatment of nasolacrimal duct obstruction

目的比较单纯鼻泪管支架植入术和鼻泪管支架植入术后糜蛋白酶液冲洗泪道治疗鼻泪管阻塞的疗效。方法对81例患者分别进行单纯鼻泪管支架植入术与鼻泪管支架植入术后糜蛋白酶液冲洗泪道治疗,术后随访,观察溢泪溢脓及泪道通畅情况。结果单纯鼻泪管支架植入术组在术后第6个月有4例出现再次阻塞,手术成功率为89.5%;鼻泪管支架植入术后糜蛋白酶液冲洗泪道组未见任何并发症,手术成功率为100%,两组比较差异有统计学意义(P<0.05)。结论鼻泪管支架植入术后糜蛋白酶液冲洗泪道的方法操作简单,并发症少,成功率高,值得临床推广应用。

Objective To investigate the therapeutic effect of lacrimal duct stent only and lacrimal duct stent with lacrimal duct chymotrypsin irrigation for nasolacrimal duct obstruction.Methods 81 patients were respectively treated with simple lacrimal duct stent or lacrimal duct stent with lacrimal duct chymotrypsin irrigation.And two groups of patients were satistical comparison analysised at three months and six months postoperatively.Results 4 patients in simple lacrimal duct stent group were occurred re-occlusion after six months,the achievement ratio was 89.5%.Complication were not found in lacrimal duct stent with lacrimal duct chymotrypsin irrigation group,the achievement ratio was 100%,there was significant difference between two groups（P〈0.05）.Conclusion It has simple operation,few complications,and much higher achievement ratio in lacrimal duct stent with lacrimal duct chymotrypsin irrigation group.It is worth popularizing.