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目的 探讨 Nd:YAG激光泪道成形术的疗效及再次激光联合插管治疗复发病例的疗效。方法 采用国产 L EK- 0 80 0 SK Nd:YAG脉冲激光泪道治疗机 ,对 4 5例 (5 0只眼 )行激光泪道成形术 ;对复发病例 ,再次行激光联合插管治疗。结果 4 5例 (5 0只眼 )经一次激光治疗 4 8只眼获得治愈 ;有 2只眼形成假道 ,一周后再次激光治疗获得治愈。术后有 12只眼复发 ,经再次激光联合插管治疗 10只眼治愈 ,2只眼未愈。本组治愈率 96 %。结论 Nd:YAG激光泪道成形术治疗泪道阻塞性疾病操作简便、手术安全、疗效高 ,可重复性好 ;复发病例联合插管治疗可以提高治愈率
Objective To investigate the curative effect of Nd: YAG laser lacrimaloplasty and re-laser combined with intubation in the treatment of recurrent cases. Methods 45 cases (50 eyes) underwent laser lacrimaloplasty with L EK-0 80 0 SK Nd: YAG pulsed laser lacrimal treatment machine. For relapsed cases, laser combined intubation was performed again. Results 45 cases (50 eyes) were cured by laser treatment of 48 eyes. Two eyes formed a false path and were cured by laser treatment again one week later. Twelve eyes had recurrence after operation, and 10 cases were cured by re-laser combined with intubation. Two eyes did not heal. The cure rate of 96%. Conclusion Nd: YAG laser lacrimal ductoplasty for the treatment of lacrimal duct obstruction is easy to operate, safe in operation, high in curative effect and good in reproducibility. The combined treatment of relapse and intubation can improve the cure rate