论文部分内容阅读
目的探讨人工鼻泪管植入术治疗慢性泪囊炎和鼻泪管阻塞的疗效及并发症发生情况。方法对32例(34眼)患者行人工鼻泪管植入术,观察疗效及术中术后并发症发生情况。结果术后1周冲洗泪管:治愈30眼,有效4眼。术后1个月复查:治愈30眼,有效3眼,无效1眼(拔管、重新植入后治愈)。术后6个月复查:治愈29眼,有效5眼。并发症主要有假道形成、泪囊穿破、植入物脱落、引导丝引出困难等。结论人工鼻泪管植入术是治疗慢性泪囊炎和鼻泪管阻塞的较为安全快捷有效的一种方法,减少并发症的发生可提高手术的安全性及有效性。
Objective To investigate the curative effect and complications of artificial nasolacrimal duct implants in the treatment of chronic dacryocystitis and nasolacrimal duct obstruction. Methods 32 patients (34 eyes) underwent artificial nasolacrimal duct implantation and the curative effect and postoperative complications were observed. RESULTS: The lacrimal duct was washed one week after surgery: 30 eyes were cured and 4 eyes were effective. One month after the operation, 30 cases were cured, 3 cases were effective, and 1 case was ineffective (extubation and cure after re-implantation). 6 months after the review: cured 29 eyes, effective 5 eyes. The main complications are the formation of false passage, lacrimal sac perforation, implant loss, lead wire leads to difficulties. Conclusion Artificial nasolacrimal duct implantation is a safe, effective and effective method for the treatment of chronic dacryocystitis and nasolacrimal duct obstruction. Reducing the incidence of complications can improve the safety and effectiveness of the operation.