第五代泪道内镜微钻疏通联合人工鼻泪管置入治疗鼻泪管阻塞的临床观察

Clinical outcomes of micro-drill recanalization and artificial nasolacrimal duct implantation with fifth-generation lacrimal endoscopy to treat nasolacrimal duct obstruction

目的探讨第五代泪道内窥镜下泪道疏通联合人工鼻泪管置入治疗鼻泪管阻塞的临床疗效。方法选取2014年1月至2015年12月诊治的61例(61眼)鼻泪管阻塞患者为研究对象,采用泪道内窥镜下微钻疏通联合人工鼻泪管置入术治疗。结果随访观察6个月,治愈48例(48眼),好转8例(8眼),有效率91.8%,无效5例(5眼)。结论第五代泪道内窥镜下微钻疏通联合人工鼻泪管植入治疗鼻泪管阻塞安全、有效,创伤小,并发症少。

Objective To evaluate the effect of micro drill recanalization and artificial nasolacrimal duct implantation with fifth-generation lacrimal endoscopy for treating nasolacrimal duct obstruction. Methods Sixty-one patients with nasolacrimal duct obstruction were recruited between January 2014 and December 2015. They were treated with micro drill recanalization and implantation of an artificial nasolacrimal duct with fifth-generation lacrimal endoscopy. Results At the 6-month follow-up,the success rate was91.8% with 48 patients cured,eight patients exhibiting improvement,and five patients exhibiting no improvement. Conclusion Micro drill recanalization and artificial nasolacrimal duct implantation with fifth-generation lacrimal endoscopy for the treatment of nasolacrimal duct obstruction was effective,safe,and minimally invasive. The results indicate that this treatment is suitable for clinical application.