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作者评价了35例病人39只眼完全性鼻泪系统阻塞透视导向球囊扩张的效果。男4例,女31例,年龄17～84岁。病人均为5级泪溢(不断流泪),用探针探查和冲洗治疗无效,病程平均7.6年(2月～30年)。原发性阻塞32只眼,外伤所致7只眼。阻塞部位为:泪总管8例、泪囊2例、泪囊和鼻泪管连结部25例、鼻泪管4例。泪囊造影无造影剂经鼻泪管入鼻腔,JonesⅠ和Ⅱ试验阴性。眼局部用丙氧苯卡因,2％利多卡因滑车下阻滞麻醉。2％利多卡因和0.5％脱羟肾上腺素喷雾器喷洒鼻粘膜。
The authors evaluated the efficacy of complete nasolacrimal system obstruction in 39 patients with obstructed fluoroscopy-guided balloon dilatation in 35 patients. 4 males and 31 females, aged 17 to 84 years old. All patients were grade 5 with tearyorrhea (continuous tearing), probe probing and flushing were ineffective, with a mean duration of 7.6 years (February to 30 years). 32 eyes of primary obstruction, 7 eyes caused by trauma. Obstruction site: 8 cases of lacrimal duct, 2 cases of lacrimal sac, lacrimal sac and nasolacrimal duct junction in 25 cases, 4 cases of nasolacrimal duct. Dacryocystography no contrast agent through the nasolacrimal duct into the nasal cavity, Jones Ⅰ and Ⅱ test negative. Eye with propoxybenzene, 2% lidocaine block anesthesia block. Nasal mucosa was sprayed with 2% lidocaine and 0.5% phenylephrine nebulizer.