脉冲YAG激光泪道成形术后不同处理方法

Clinical observation on different postoperative treatment after lacrimal ductplasty by impulse YAG laser.

目的 评价激光泪道成形术后泪道灌注药物与泪道插管的临床效果。方法 使用HSM IIIB 脉冲YAG激光对118例 (12 7眼 )各种泪道阻塞施行泪道成形术 ,术后选用四环素可的松眼膏进行泪道药物灌注与泪道插管进行对比 ,随访 1周、2周、1月、3月、6月、12月的临床疗效。结果 YAG激光泪道成形术后 ,进行泪道药物灌注与泪道插管 ,经 6～ 12月的随访 ,两者临床效果差异有显著性意义。泪道插管有 6例泪小管撕裂 ,而泪道药物灌注无一例泪小管撕裂。结论 激光泪道成形术后泪道药物灌注临床疗效明显优于泪道插管。

Objective To evaluate clinical effect of lacrimal duct dru g irrigation after lacrimal duct plasty by laser.Methods Lacrimal duct plasty treatment by HSM III B impulse YAG laser to 118 patients (127eyes )suffered from all kinds of obstructive lacrimal passages,the clinical effect be tween lacrimal duct drug irrigation on Oculentum Tetracyclini Et Cortisoni Aceta tis with lacrimal duct intubation were compared 1 week,2 weeks,1 month,3 months, 6 months,12 months after operatim.Results After operation the c linica l effects between both methods were significant different from six to twelve mon th s.Conclusion After lacrimal duct plasty,the clinical effect of lacrimal duct drug irrigation is more excellent than that of lacrimal duct intub ation.