人工鼻泪管植入术治疗慢性泪囊炎疗效观察

Therapeutic effect of implantation of artificial nasolacrimal canal on treatment of chronic dacryocystitis

目的观察人工鼻泪管植入术治疗慢性泪囊炎的临床疗效。方法选择本院2009年5～12月门诊确诊为慢性泪囊炎患者60例(68只眼),所有患者均行人工鼻泪管植入术治疗。结果一次性治愈59只眼(86.76%);有效4只眼(5.88%);总有效率92.65%。无效5只眼(7.35%)。5只无效眼中,2眼再次植入人工鼻泪管后,1眼治愈,1眼有效。另外3眼行泪囊鼻腔吻合术,2眼治愈,1眼有效。结论人工鼻泪管植入术是治疗慢性泪囊炎,尤其是大泪囊患者的有效方法,具有微创、风险小、易普及和较经济的优点。

Objective To observe therapeutic effect and surgical complications of implantation of artificial nasolacrimal canal on the treatment of chronic dacryocystitis. Methods 68 eyes from 60 patients who were treated with rhino-lacrimal passages recanali zation plus implantation of artificial nasolacrimal canal from May to December,2009 in our hospital were successfully followed up, observed and recorded. All of cases were implanted with artificial nasolacrimal canal. Results 59 eyes were cured（86.76 % ） ;4 eyes were symptomatic relieved（5.88% ）;the total effective rate was 92.65 %. Among 5 eyes were of invalid treatment（7.35 %）, there were 2 eyes with artifical nasolacrimal canal,in which 1 eye be cured and 1 eye of efficien. Conclusion The implantation of artificial nasolacrimal canal is the effective treatment of chronic dacryocystitis, especially in large dacryocyst patients,with advantages of minor invasion,low risk,easy to spread and more economical.