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目的探讨泪腺肿物切除术后患者术眼干眼症状及相关指标变化。方法 37例37眼泪腺肿物患者行泪腺肿物切除手术,分别观察术前、术后2周干眼症状,包括干涩感、异物感、烧灼感等,并行相关角膜荧光素染色检查、泪液分泌检查及泪膜破裂时间测定。结果泪腺肿物切除术后2周,小部分患者出现干眼症状(16%),反射性泪液分泌减少,与术前相比差异有显著意义(P<0.05);术后2周角膜荧光素染色、基础泪液分泌和泪膜破裂时间与术前相比差异无显著意义(P>0.05)。结论泪腺肿物切除术后,小部分患者术眼出现干眼症状,程度较轻。
Objective To investigate the symptoms and related indicators of dry eye of patients after lacrimal gland resection. Methods 37 patients with lacrimal gland tumor underwent resection of lacrimal gland in 37 cases. The symptoms of dry eye, including dryness, foreign body sensation and burning sensation were observed before and 2 weeks after surgery. The corneal fluorescein staining, tear secretion Check and tear film rupture time determination. Results After 2 weeks of lacrimal gland resection, the dry eye symptoms (16%) and reflex tear secretion decreased in a small part of patients (P <0.05). The corneal fluorescein There was no significant difference in staining, basal tear secretion and tear film rupture time compared with that before operation (P> 0.05). Conclusions After lacrimal gland tumor resection, the dry eye symptom appears in a small part of patients, to a lesser extent.