泪道激光联合引流管植入治疗泪道阻塞的临床观察

doi:10.6040/j.issn.1673-3770.0.2017.180

摘要/Abstract

摘要： 目的研究泪道激光联合引流管植入对泪道阻塞患者眼表状态的影响。方法选取2014年1月~2015年12月收治的120例泪道阻塞患者,采用数字奇偶法随机分为对照组和观察组,每组60例,其中对照组行常规手术治疗,观察组行泪道激光联合引流管植入术。分析观察组术前、术后1个月及术后2个月的泪膜破裂时间和泪液分泌量。结果对照组治疗总有效率为75.0%低于观察组约91.7%(P<0.05);观察组各个时间段的泪膜破裂时间比较差异无统计学意义(P>0.05);术后2个月患者的泪液分泌量较治疗前差异无统计学意义(P>0.05);术后1个月泪液分泌量较治疗前上升,差异有统计学意义(P<0.05)。结论泪道激光联合引流管植入治疗泪道阻塞患者,可取得较好的治疗效果,且对患者眼表状态无明显影响。

关键词: 引流管植入, 临床疗效, 泪道阻塞, 泪道激光, 影响因素

Abstract: Objective To explore the impact of lacrimal duct laser combined with drainage tube implantation on the ocular surface of patients with lacrimal duct obstruction. Methods Between January 2014 and December 2015, we treated 120 cases of lacrimal duct obstruction. A digital parity method randomly divided these individuals into a control group(60 individuals)and an observation group(60 individuals). The control group received conventional surgical treatment. The trial group received laser treatment combined with lacrimal drainage tube implantation. The data from the trial group were retrospectively analyzed. The percentage of cases in which treatment was effective was analyzed. Tear film break-up time(following extubation)and tear secretions were also analyzed. Results In the control group, treatment was effective in 75.0% of cases. This percentage was significantly lower than that in the trial group, where treatment was effective in 91.7% of cases(P<0.05). The tear film break-up time did not significantly differ between groups. Tear secretions following extubation were not significantly different between groups. In the trial group, tear secretion was significantly increased at one month after treatment compared to before treatment(P<0.05). Conclusion The use of laser treatment combined with a lacrimal drainage tube implantation was found to be a better therapeutic option than the conventional treatment for lacrimal duct obstruction. Laser combination therapy had no effect on the state of the ocular surface.

Key words: Lacrimal duct obstruction, Lacrimal duct laser, Drainage tube implantation, Clinical efficacy, Influence factors

中图分类号:

R779.6

张晓莉,于泓,韩冬梅,杨瑞民,戚伟. 泪道激光联合引流管植入治疗泪道阻塞的临床观察[J]. 山东大学耳鼻喉眼学报, 2017, 31(4): 84-86.

ZHANG Xiaoli, YU Hong, HAN Dongmei, YANG Ruimin, QI Wei. Lacrimal duct laser combined with drainage tube implantation for the treatment of lacrimal duct obstruction.[J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2017, 31(4): 84-86.

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