摘要
目的:观察黏膜瓣泪小点成形术用于治疗慢性泪小管炎的疗效。方法:回顾性病例系列研究。收集2018年1月至2020年12月中山眼科中心眼整形科就诊的44例慢性泪小管炎患者的临床资料,分析其性别、年龄、患病眼别、临床症状、泪道冲洗结果等临床特点。采用黏膜瓣泪小点成形术进行治疗,术后随访评估其疗效。结果:44例慢性泪小管炎患者以女性为主(男女比例1:3.9),单侧发病,多累及下泪小管(上下泪小管比例1:3),主要表现为分泌物增多、溢泪以及内眦部位红肿,结石阳性率为95.7%,病原微生物检查结果显示以放线菌感染为主(78.3%)。大部分患者术后1周内症状得到明显改善,其中1例上下泪小管炎患者于术后2个月出现上泪小管炎复发。总体治愈率为97.8%,随访时间为(20.7±10.9)个月。结论:黏膜瓣泪小点成形术治疗慢性泪小管炎的临床疗效确切,方法可靠。
Objective:To evaluate the efficacy of mucosal flap punctoplasty in patients with chronic canaliculitis.Methods:In this retrospective serial case study,the clinical data of 44 patients with chronic canaliculitis were collected from the Oculoplastic Department of Zhongshan Ophthalmic Center at Sun Yat-sen University between January 2018 and December 2020.Demographic data such as gender,age,affected eye,clinical presentations and lacrimal duct irrigation results were analyzed.The efficacy of the procedure,symptom resolution and complications were assessed.Results:Of the 44 patients,most(male:female 1:3.9)were female,and the disease most often(upper:lower 1:3)involved the lower lacrimal canaliculus of only one eye.Main symptoms included increased secretion,tearing,and swelling of the inner canthus.Stones were present in 95.7%of patients and Actinomyces israelli was found to be the most common pathogen(78.3%).Most patients’symptoms improved significantly within 1 week after surgery.Only one patient,who had infections in both the upper and lower canaliculi,had recurrence of upper canaliculitis 2 months after the surgery.The overall cure rate was 97.8%,and the follow-up time was(20.7±10.9)months.Conclusion:Mucosal flap punctoplasty is an efficacious and reliable method in the treatment of chronic canaliculitis.
作者
黄伟锋
陈荣新
赵静
李星仪
姜爱新
曹淑娟
于欣悦
梁轩伟
HUANG Weifeng;CHEN Rongxin;ZHAO Jing;LI Xingyi;JIANG Aixin;CAO Shujuan;YU Xinyue;LIANG Xuanwei(State Key Laboratory of Ophthalmology,Zhongshan Ophthalmic Center,Sun Yat-sen University,Guangdong Provincial Key Laboratory of Ophthalmology and Visual Science,Guangdong Provincial Clinical Research Center for Ocular Diseases,Guangzhou 510060;Ophthalmic Center of the First People’s Hospital of Kashgar Area,Kashgar Xinjiang 844000,China)
出处
《眼科学报》
CAS
2021年第11期881-887,共7页
Eye Science
基金
广东省基础与应用基础研究基金自然科学基金项目(2021A1515012043)
眼科学国家重点实验室专项经费(30306020240020219)
新疆维吾尔自治区创新环境(人才、基地)建设专项(天山青年计划)(2019Q145)
喀什地区第一人民医院“珠江学者•天山英才”合作专家工作室创新团队(KDYY202018)。
关键词
泪小管炎
泪小点成形术
泪小管结石
泪器
canaliculitis
punctoplasty
lacrimal duct stone
lacrimal system
