两种不同硅胶引流管治疗慢性泪囊炎的临床观察

发布时间：2018-03-10 10:40

本文选题：慢性泪囊炎　切入点：硅胶管　出处：《眼科新进展》2014年03期 　论文类型：期刊论文

【摘要】：目的比较两种不同硅胶引流管在逆行置管术治疗慢性泪囊炎中的临床效果。方法选取2009年1月至2011年6月在我科治疗的80例单眼单纯性慢性泪囊炎患者,根据放置引流管的不同,将患者随机分成球头硅胶管逆行置管术(A)组和泪道扩张引流管逆行置管术(B)组,术后3~6个月拔管,随访18个月,评价两组患者手术成功率,并比较两组患者术后拔管操作难易度及复发率。结果完成随访者75例纳入疗效分析,A组39例,B组36例,两组患者年龄、性别、眼别、病程差异均无统计学意义(均为P0.05)。A组手术成功率为94.9%(37/39),B组为88.9%(32/36),两组比较差异无统计学意义(P0.05)。拔管时,A组有1例、B组5例拔管困难。随访期间,A组有2例、B组有4例复发。结论两种不同硅胶引流管在逆行置管术治疗慢性泪囊炎中都具有操作简单、安全、适应证广等优点,且疗效显著;而在拔管过程中球头硅胶管拔管较泪道扩张引流管相对容易。
[Abstract]:Objective to compare the clinical effects of two kinds of silica gel drainage tubes in the treatment of chronic dacryocystitis. Methods 80 patients with monocular chronic dacryocystitis treated in our department from January 2009 to June 2011 were selected. According to the different placement of drainage tube, the patients were randomly divided into two groups: group A (retrograde tube placement) and group B (retrograde insertion of lacrimal duct dilated drainage tube). After 3 ~ 6 months of operation, the patients were followed up for 18 months to evaluate the success rate of the two groups. Results 75 patients with complete follow-up were included in the analysis of curative effect in group A (39 cases) and group B (36 cases). There was no significant difference in the course of disease between two groups (P 0.05). The success rate of operation in group A was 94.9%. The success rate of operation in group B was 88.932 / 36. There was no significant difference between the two groups. There was no significant difference between the two groups (P 0.05). One case in group A had difficulty extubation during extubation. 2 cases in group A had difficulty extubation during the follow-up period. 4 cases in group B had difficulty extubation. Conclusion two kinds of silica gel drainage tubes are easy to operate in the treatment of chronic dacryocystitis by retrograde catheterization. The advantages of safety, wide indication, and remarkable curative effect were observed, and the extubation of bulbous silicone tube was easier than that of lacrimal duct dilatation in the process of extubation.
【作者单位】：武汉大学中南医院眼科;
【分类号】：R779.6

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