山东大学耳鼻喉眼学报 ›› 2018, Vol. 32 ›› Issue (5): 93-96.doi: 10.6040/j.issn.1673-3770.0.2017.256

• ·论著· • 上一篇    下一篇

第五代泪道内镜微钻疏通联合人工鼻泪管置入治疗鼻泪管阻塞的临床观察

王兴存,朱立强,左文渊,孟志强,刘洋,提同欣   

  1. 中国人民解放军第三二二医院眼科, 山西 大同 037047
  • 收稿日期:2017-06-08 出版日期:2018-09-20 发布日期:2018-09-20
  • 通讯作者: 王兴存. E-mail:wxceye3221979@sohu.com

Clinical outcomes of micro-drill recanalization and artificial nasolacrimal duct implantation with fifth-generation lacrimal endoscopy to treat nasolacrimal duct obstruction

WANG Xingcun, ZHU Liqiang, ZUO Wenyuan, MENG Zhiqiang, LIU Yang, TI Tongxin   

  1. Department of Ophthalmology, The PLA Hospital of 322, Datong 037047, Shanxi, China
  • Received:2017-06-08 Online:2018-09-20 Published:2018-09-20

HTML

PDF (PC)

309

摘要： 目的 探讨第五代泪道内窥镜下泪道疏通联合人工鼻泪管置入治疗鼻泪管阻塞的临床疗效。 方法 选取2014年1月至2015年12月诊治的61例(61眼)鼻泪管阻塞患者为研究对象,采用泪道内窥镜下微钻疏通联合人工鼻泪管置入术治疗。 结果 随访观察6个月,治愈48例(48眼),好转8例(8眼),有效率91.8%,无效5例(5眼)。 结论 第五代泪道内窥镜下微钻疏通联合人工鼻泪管植入治疗鼻泪管阻塞安全、有效,创伤小,并发症少。

关键词: 泪道内窥镜, 鼻泪管阻塞, 微钻, 人工鼻泪管

Abstract: Objective To evaluate the effect of micro drill recanalization and artificial nasolacrimal duct implantation with fifth-generation lacrimal endoscopy for treating nasolacrimal duct obstruction. Methods Sixty-one patients with nasolacrimal duct obstruction were recruited between January 2014 and December 2015. They were treated with micro drill recanalization and implantation of an artificial nasolacrimal duct with fifth-generation lacrimal endoscopy. Results At the 6-month follow-up, the success rate was 91.8% with 48 patients cured, eight patients exhibiting improvement, and five patients exhibiting no improvement. Conclusion Micro drill recanalization and artificial nasolacrimal duct implantation with fifth-generation lacrimal endoscopy for the treatment of nasolacrimal duct obstruction was effective, safe, and minimally invasive. The results indicate that this treatment is suitable for clinical application.

Key words: Lacrimal endoscopy, Micro drill, Artificial nasolacrimal duct, Nasolacrimal duct obstruction

中图分类号: 

  • R777.2
[1] 高峰, 单秀水. 窥镜下激光泪道成形置管术治疗慢性泪囊炎的疗效[J]. 国际眼科杂志, 2013, 13(4):812-813. GAO Feng, SHAN Xiushui. Curative effect evaluation of the treatment of chronic suppurative dacryocystitis by lacrimal endoscopic laser lacrimal passage with catheterization[J]. Inter Eye Sci, 2013, 13(4):812-813.
[2] 康永哲, 吕红玲, 宴世刚, 等. 第五代泪道内窥镜微创治疗慢性泪囊炎的临床研究[J].国际眼科杂志, 2015, 15(6):1046-1049. KANG Yongzhe, LÜ Hongling, YAN Shigang, et al. Clinical research of the micro-invasive treatments for chronic dacryocystitis with the fifth generation lacrimal endoscope[J]. Inter Eye Sci, 2015, 15(6):1046-1049.
[3] 李泽宜, 蔡建豪, 周元升, 等. 泪道内窥镜下环钻泪道成形联合置管术治疗泪道阻塞的临床观察[J]. 临床眼科杂志, 2013, 21(5):436-440. LI Zeyi, CAI Jianhao, ZHOU Yuansheng, et al. Clinical outcomes of microdrill recanalization and intubation under lacrimal endoscope to treat lacrimal passage obstruction[J]. J Clin Ophthalmol, 2013, 21(5):436-440.
[4] 金晶, 项楠, 刘荣, 等. 泪道内窥镜在观察患者泪道黏膜及阻塞部位中的应用[J]. 国际眼科杂志, 2016, 16(1):174-176. JIN Jing, XIANG Nan, LIU Rong, et al. Application of lacrimal endoscopy on observing lacrimal passage mucosa condition and obstructive location[J]. Inter Eye Sci, 2016, 16(1):174-176.
[5] 王伟, 陶海, 刘爽, 等. 泪道阻塞部位的分布特点及相关因素的初步研究[J]. 国际眼科杂志, 2009, 9(5):909-912. WANG Wei, TAO Hai, LIU Shuang, et al. Primary study on the distribution characters of obstructed portions and risk factors of lacrimal duct obstruction[J]. Inter J Ophthalmol, 2009, 9(5):909-912.
[6] Ben Simon GJ, Joseph J, Lee S, et al. External versus endoscopic dacryocystorhinostomy for acquired nasolacrimal duct obstruction in a tertiary referral center[J]. Ophthalmology, 2005, 112(8):1463-1468.
[7] Yazici B, Hammad AM, Meyer DR, et al. Clinnical sac dacryoliths: predietive factor and clinical characteristics[J]. Ophthalmology, 2001, 108(7):1308-1312.
[8] Jain R, Rose GE. Lacrimal drainage surgery in patients with rare nasal diseases[J]. Eye, 2007, 21(11):1361-1366.
[9] 李冬梅, 丁静文. 外路泪囊鼻腔吻合术是否将被淘汰[J]. 中华眼科杂志, 2014, 50(8):566-568. LI Dongmei, DING Jingwen. Whether external dacryocystorhinostomy will be abandoned[J]. Chin J Ophthalmol, 2014, 50(8):566-568.
[10] Fein W, Daykhovsky L, Papaionannou T, et al. Endoscopy of the lacrimal outflow system[J]. Arch Ophthalmol, 1992, 110(12):1748-1750.
[11] 张敬先, 邓宏伟, 颜波, 等. 新型泪道逆行置管术治疗鼻泪管阻塞[J]. 中华眼科杂志, 2007, 43(9):806-809. ZHANG Jingxia, DENG Hongwei, YAN Bo, et al. A novel retrograde intubation procedure for treatment of nasolacrimal duct obstruction[J]. Chin J Ophthalmol, 2007, 43(9):806-809.
[12] 熊海波, 潘山, 易泰松. 泪小管切开联合硅胶管植入治疗泪小管炎观察[J]. 中国实用眼科杂志, 2014, 32(8):1013-1014. XIONG Haibo, PAN Shan, YI Taisong. Clinical research on treatment of canaliculitis with canalicular incision joint lacrimal silicone tube implantation[J]. Chin J Pract Ophthalmol, 2014, 32(8):1013-1014.
[1] 张玉环 韩方菊 李锦荣 陈璇. 人工鼻泪管植入治疗鼻泪管阻塞[J]. 山东大学耳鼻喉眼学报, 2009, 23(4): 68-.
[2] 秦民安 冯梅艳. 经鼻泪道扩张联合丝裂霉素C治疗鼻泪管阻塞[J]. 山东大学耳鼻喉眼学报, 2009, 23(3): 48-49.
Viewed
Full text


Abstract

Cited
  Shared   
  Discussed   
[1] 曾冬前，项俊，陈禹武，顾东胜，王天生. 甲状腺手术美观性技巧改进[J]. 山东大学耳鼻喉眼学报, 2009, 23(3): 23 -24 .
[2] 叶树凤,张旭,苏凯,李贺杰,滕博. 喉癌喉部分切除术术后喉囊肿一例及文献复习[J]. 山东大学耳鼻喉眼学报, 2018, 32(5): 117 -118 .
[3] 张晖萍,张鹏飞,上官翰京,兰书湛 . ABAD/HADH Ⅱ在喉鳞状细胞癌与声带息肉组织中的表达[J]. 山东大学耳鼻喉眼学报, 2006, 20(5): 444 -446 .
[4] 刘杰,张晓恒,姜彦. 急性粒细胞白血病髓外复发浸润乳突一例[J]. 山东大学耳鼻喉眼学报, 2017, 31(5): 110 .
[5] 刘 英,赵春丽,郑贵亮 . 真菌球性上颌窦炎术后黏膜恢复的观察[J]. 山东大学耳鼻喉眼学报, 2007, 21(1): 60 -61 .
[6] 郭红光，李进让，孙建军. CO2激光声带切除术后复发相关因素分析[J]. 山东大学耳鼻喉眼学报, 2013, 27(1): 54 -57 .
网站版权所有 © 2018 《山东大学耳鼻喉眼学报》编辑部　
地址：山东省济南市山大南路27号（250100）电话：+86-0531-88366912 E-mail: ebhxb@sdu.edu.cn
本系统由北京玛格泰克科技发展有限公司设计开发