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目的探讨KTP激光泪道成形术配合中药治疗慢性泪囊炎的疗效。方法选取慢性泪囊炎患者98例(98眼),在施行KTP激光治疗后,予口服中药煎剂(龙胆泻肝汤加减),共4周,随访12个月,观察治疗效果。结果治愈86例(86眼),占87.76%;好转8例(8眼),占8.16%;无效:4例(4眼),占4.08%。结论对慢性泪囊炎患者采用KTP激光泪道成形术配合中药治疗,相对于单纯KTP激光治疗,在减少复发、提高治愈率方面可能存在优势,但仍需进一步地观察研究。
Objective To investigate the curative effect of KTP laser lacrimaloplasty combined with traditional Chinese medicine on chronic dacryocystitis. Methods A total of 98 patients (98 eyes) with chronic dacryocystitis were selected. After KTP laser treatment, decoction of Longdan Xiegan decoction was given for 4 weeks and followed up for 12 months. The therapeutic effect was observed. Results 86 cases (86 eyes) were cured, accounting for 87.76%; 8 cases (8 eyes) were cured, accounting for 8.16%; 4 cases (4 eyes) were ineffective, accounting for 4.08%. Conclusion KTP laser lacrimaloplasty combined with traditional Chinese medicine in patients with chronic dacryocystitis may have advantages in reducing relapse and improving cure rate compared with pure KTP laser treatment. However, further studies are needed.