球头硅胶管逆行泪道植管术治疗鼻泪道阻塞的疗效及影响因素分析

发布时间：2018-02-05 01:27

本文关键词： 球头硅胶管泪道植管术鼻泪道阻塞　出处：《眼科新进展》2014年09期 　论文类型：期刊论文

【摘要】：目的探讨球头硅胶管逆行泪道植管术治疗鼻泪道阻塞的疗效及其相关影响因素。方法回顾性选择本院眼科就诊的已接受球头硅胶管逆行泪道植管术的92例(92眼)鼻泪道阻塞患者,排除泪小管阻塞、泪总管阻塞、泪点外翻等情况,记录性别、年龄及术前病情、术后疗效,统计分析其相关影响因素。结果经术后随访6~12个月,92例鼻泪道阻塞患者中治愈77例(83.7%),均无明显手术并发症发生。单因素分析发现,治愈组和欠佳组患者的性别、年龄差异均无统计学意义(均为P0.05),而术前合并不同病情的患者其手术治疗效果差异有统计学意义(P=0.042)。Logistic逐步回归分析发现,性别、年龄与手术治疗效果均无相关性(均为P0.05),而术前病情的三组中,与泪道损伤史病例对比,单纯鼻泪道阻塞与手术治愈率具有相关性(OR=5.343,P=0.032)。结论利用球头硅胶管逆行泪道植管术治疗鼻泪道阻塞,成功率较高,且无明显手术并发症。术前充分考虑各种病情对手术的影响,可以进一步提高手术成功率。
[Abstract]:Objective to investigate the curative effect and related factors of retrograde lacrimal duct implantation in the treatment of nasolacrimal duct obstruction. Methods 92 cases of retrograde lacrimal duct implantation with bulbous silicone tube were retrospectively selected. 92 eyes) patients with nasolacrimal duct obstruction. Excluded lacrimal canaliculus obstruction, lacrimal duct obstruction, lacrimal point valgus and so on, recorded gender, age, preoperative condition, postoperative curative effect, statistical analysis of its related factors. Results after 6 to 12 months follow-up. Among 92 patients with nasolacrimal duct obstruction, 77 cases were cured and there were no obvious complications. Univariate analysis showed that the sex of patients in cured group and poor group. There was no significant difference in age (P0.05). The results of surgical treatment in patients with different conditions before operation were statistically significant. Logistic stepwise regression analysis showed that sex. There was no correlation between age and surgical outcome (P0.05), but the three groups were compared with lacrimal duct injury history before operation. Simple nasolacrimal duct obstruction was correlated with the cure rate of surgery. Conclusion the successful rate of retrograde lacrimal duct implantation with bulbous silica gel tube in treating nasolacrimal duct obstruction is high. There were no obvious operative complications. The effect of various conditions on the operation was fully considered before operation, which could further improve the success rate of the operation.
【作者单位】：新乡医学院第一附属医院眼科;
【分类号】：R779.6
【正文快照】： 泪道阻塞是眼科常见病,其中鼻泪管阻塞最常见,是导致流泪、慢性泪囊炎的主要原因[1-5]。以前常规治疗方法即行泪囊鼻腔吻合术,该手术需在面部切口,术后易留瘢痕影响美观,且手术创伤较大。近年来使用球头硅胶管逆行泪道植管术治疗鼻泪道阻塞,具有手术时间短、创伤小、操作方便

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