论文部分内容阅读
目的 探讨国产泪道激光机治疗泪道阻塞的临床价值。方法 采用国产Nd:YAG汨道激光机治疗各种原因所致的泪道阻塞134例 148眼。结果 148眼中,治愈(溢泪症状消失,泪道冲洗通畅)113眼占76.4％;好转(溢泪症状减轻,泪道冲洗通而不畅)8眼占5.4％;无效27眼占18.2％失败病例为慢性泪夔炎19眼,单纯性鼻泪管阻塞3眼,泪小管阻塞5眼,其中3眼形成假道。结论 国产Nd:YAC激光治疗泪道阻塞具有操作简便,组织损伤小,极少出血等优点 尤其是泪小管阻塞,传统的各种手术方法操作难度大,成功率低,而激光治疗相对简便,在表麻下完成,且治愈率也较高 但慢性泪囊炎行激光治疗效果不理想。
Objective To investigate the clinical value of domestic lacrimal lasers in treating lacrimal duct obstruction. Methods A total of 148 eyes (134 eyes) of lacrimal duct obstruction due to various reasons were treated with domestic Nd: YAG laser. Results In the 148 eyes, 113 eyes accounted for 76.4% of the cured eyes (symptom of overflowing tears and irrigating of lacrimal duct), improved in 7 eyes (5.4 eyes in 8 eyes), failure in 27 eyes (18 eyes) failed 19 cases of chronic lacrimal tears, simple nasolacrimal duct obstruction 3, lacrimal duct obstruction 5, of which 3 eyes form a fake. Conclusion The treatment of lacrimal duct obstruction with homemade Nd: YAC laser has the advantages of simple operation, small tissue damage, minimal bleeding, especially the lacrimal duct obstruction. The traditional surgical methods are difficult to operate and the success rate is low. Laser treatment is relatively simple. Table Ma completed, and the cure rate is higher but the treatment of chronic dacryocystitis laser effect is not satisfactory.