泪道逆行植管治疗慢性泪囊炎的临床观察

Clinical Study of Retrograde Lacrimal Intubation on the Treatment of Chronic Dacryocystitis

目的观察泪道硅胶管逆行植入术治疗慢性泪囊炎的疗效。方法回顾性分析门诊选取的慢性泪囊炎、鼻泪管阻塞31例(31眼)的患者资料,所有患者均采用硅胶导管经泪道实施逆行泪道置管术,术后冲洗,通畅后放置3～6个月拔管,术后观察患者的症状和冲洗泪道的情况,共观察6～12个月。结果所有患者均顺利完成手术,泪道逆行置管对慢性泪囊炎和鼻泪管阻塞的治愈率为81.3%,有效率为93.8%。结论泪道硅胶管逆行植入术是治疗泪道阻塞疾病的一种操作简单、安全有效的方法。

Objectives To observe the clinical effect of silica made retrograde lacrimal intubation on treatment of chronic dacrocystitis. Methods Thirty one patients （Thirty one eyes） with chronic dacryocystitis in this study were se- lected from eye department from January 2008 to June 2011. All patients received retrograde lacrimal catheter implementa- tion with silica tube in outpatient department, and the lacrimal passages were washed after the operation, and the tube was removed after placing three to six months. The symptoms and syphilis of lacrimal passages of these patients were observed in the following 6 to 12 months after the operation. Results All operations on patients were conducted successfully ,and no complications happened during the procedure. The recovery rate and effective rate of nasolacrimal duct obstruction were 81.3% and 93.8% respectively. Conclusions This treatment is an easy, safe, effective method on treating chronic dacryocystitis and nasolacrimal duct obstruction, so it is suitable for cilnical application.