摘要
目的：观察鼻腔内窥镜下泪道支架植入术治疗泪道阻塞的临床疗效。方法回顾性分析山东省滨州市中心医院眼科2010年2月至2011年12月期间采用Fr7、Fr8和Fr9型泪道支架治疗19例（20只眼）泪道阻塞患者的临床资料，在患者泪道和鼻腔黏膜表面麻醉下经鼻腔逆行插入泪道支架，治疗泪道阻塞。术前对患者进行泪道造影和泪道冲洗，并确定泪道阻塞的部位，检查确定泪囊的大小，CT检查鼻泪管以确定鼻泪管的骨道粗细。术后1周每日冲洗泪道1次，之后每月冲洗泪道1次。归纳鼻腔内窥镜下泪道支架植入术治疗泪道阻塞的临床疗效。结果本组19例（20只眼）患者，术中均成功植入泪道支架，2只眼于术后3～5 d 发生支架阻塞，经及时冲洗后泪道恢复通畅。术后对患者进行1～13个月的随访，平均10个月，溢泪症状消失、冲洗泪道通畅者19只眼（95％）。溢泪、冲洗欠通畅者1只眼（5％）。结论泪道支架植入术是一种新型治疗泪道阻塞的治疗方法，具有简便、安全和有效的优点。
Objective To observe the clinical efficacy of lacrimal duct stent for nasolacrimal duct obstruction under nasal endoscope.Methods It was a retrospective study.Nineteen patients (20 eyes) of lacrimal duct obstruction using Fr 7,Fr 8 or Fr 9 type lacrimal stent produced by Shandong Furuida biological chemical co.Ltd since Feb.2010 in department of ophthalmology,Binzhou Cental Hospital were included in this study.Before the surgery,lacrimal duct imaging and lacrimal passage irrigation were taken to confirm the site of obstruction and the size of the lacrimal sac.CT scan was made to check the caliber of nasolacrimal canal bone road.Under topical anesthesia of lacrimal passages and nose mucous membrane,Fr 7,Fr 8 or Fr 9 type lacrimal stent was retrogradely inserted into nasal cavity.The lacrimal passages was irrigated once a day during the first week after operation,then once a month.There were 1-13 months followed-up was made and the clinical efficacy of lacrimal duct stent was observed.Results Lacrimal duct stents were successfully implanted in all 19 patients (20 eyes) .Stent blocking occurred in 2 eyes 3-5 days postsurgery and got clear after lacrimal passage irrigation.Ten months after surgery,19 eyes (95%) had unobstructed lacrimal duct, epiphora was observed in only 1 eye (5%).Conclusion Lacrimal passages stenting under nasal endoscope is a new,simple,safe and effective method in treating nasolacrimal duct obstruction.
出处
《中华眼科医学杂志（电子版）》
2013年第2期92-94,共3页
Chinese Journal of Ophthalmologic Medicine(Electronic Edition)
关键词
鼻腔内窥镜
泪道阻塞
泪道支架
Nasal endoscope
Nasolacrimal duct obstruction
Lacrimal passages stent
