摘要
目的：分析无皮肤切口的Medpor义管植入泪道旁路手术的有效性和安全性。方法回顾分析我院2011年3月至2012年12月收治的7例（7眼）行无皮肤切口的Medpor义管植入泪道旁路术的病例资料,观察其手术效果和并发症情况,分析手术的有效性和安全性。结果本组术后随访5-17个月。最后一次随访时溢泪症状消失或明显改善且义管冲洗通畅者5例,随访期间3例出现结膜肉芽增生物,2例出现鼻黏膜肉芽增生物,4例有不适感。结论 Medpor义管植入泪道旁路术可作为难治性泪道阻塞患者的备选治疗方法,但存在肉芽增生和不适感等不良反应。
Abstrac：Objective To analyze the efficacy and safety of medpor-coated tear drain in lacrimal bypass surgery without skin incision. Methods The data of 7 patients（7 eyes） who underwent no skin incision of lacrimal bypass surgery with medpor-coated tear drain were ret-rospective reviewed. The operation result and complications were observed. Results All patients were followed up for 5~17 months. Com-plete or significant improvement of epiphora was achieved in 5 cases at the last follow-up. Complications included conjunctival granulation hy-perplasia （3 eyes）,nasal mucosal granulation hyperplasia （2 eyes）,and discomfort （4 eyes）. Conclusion The lacrimal bypass surgery with medpor-coated tear drain could be expected to improve epiphora of refractory lacrimal obstruction. The main complications are granulation hyperplasia and discomfort.
出处
《局解手术学杂志》
2014年第2期138-139,143,共3页
Journal of Regional Anatomy and Operative Surgery
基金
2013年成都军区总医院院管课题
关键词
泪道阻塞
Medpor泪道义管
泪道旁路术
lacrimal duct obstruction
Medpor-coated tear drain
lacrimal bypass surgery
