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目的:探讨鼻泪管逆植球头硅胶管术的难点与对策,并观察其治疗效果。方法:对鼻泪管阻塞或狭窄的患者,施行鼻泪管逆植球头硅胶管术,探讨假道形成、送线针的钩取、植入物植入困难、鼻腔出血、拔管后再阻塞等问题的处理。结果:132例156只眼中,2只眼插管失败,治愈102眼,显效31眼,进步7眼,无效14眼,有效率达85%。结论:鼻泪管逆植球头硅胶管术具有高效、微创、价廉、痛苦少等特点,值得临床推广使用。
Objective: To investigate the difficulties and countermeasures of nasolacrimal duct reverse-head silicone tube surgery and to observe its therapeutic effect. Methods: Nasal tear tube retrograde balloon-operated silicone tube technique was performed on patients with nasolacrimal duct obstruction or stenosis. The purpose of the study was to investigate the formation of false passage, hook-up of thread-delivery needle, implants implantation, nasal bleeding and extubation Blocking and other issues of treatment. Results: In 132 eyes of 156 eyes, intubation failed in 2 eyes, 102 eyes were cured, 31 eyes were markedly improved, 7 eyes were improved, 14 eyes were ineffective, and the effective rate was 85%. Conclusion: The nasolacrimal duct retrograde balloon-head silicone tube has the characteristics of high efficiency, minimally invasive, inexpensive and less painful, which is worthy of clinical promotion.