高频电烧灼术联合鼻泪管支架治疗鼻泪管阻塞

High frequcncy electric cauterization combined with nasolacrimal duct stent implantation for nasolacrimal duct obstruction

目的 观察高频电烧灼术联合鼻泪管支架植入治疗鼻泪管阻塞的效果.方法 鼻泪管阻塞170例（176眼）.采用高频电烧灼术联合鼻泪管支架植入术治疗,随访6 ～ 12个月.结果 176眼中除4眼因为泪道探通术及泪道扩张失败未植入支架,余均顺利完成手术.术后1个月、3个月、6个月和12个月时总有效率分别为95.54％、85.23％、82.57％和81.18％.结论 高频电烧灼术联合鼻泪管支架植入术治疗鼻泪管阻塞,获得了较好的效果.

Objective To observe the efficacy of high frequency electric cauterization combined with nasolacrimal duct stent implantation for the treatment of nasolacrimal duct obstruction.Methods 176 eyes of 170 patients of nasolacrimal duct obstruction were involved.They underwent high frequency electric cauterization combined with nasolacrimal duct stent implantation.The patients were followed up for 6 ～ 12 months.Results The surgery was successfully performed in 172 eyes.Four eyes failed probing and dilatation of lacrimal passage.The effective rates were 95.54%,85.23%,82.57% and 81.18% at 1,3,6 and 12 months postoperatively.Conclusion The high frequency electric cauterization combined with nasolacrimal duct stent implantation is satisfactorily effective for nasolacrimal duct obstruction.