山东大学耳鼻喉眼学报 ›› 2009, Vol. 23 ›› Issue (3): 48-49.

• 论文 • 上一篇    下一篇

经鼻泪道扩张联合丝裂霉素C治疗鼻泪管阻塞

秦民安 冯梅艳   

  1. 枣庄市立医院眼科, 山东 枣庄 277102
  • 收稿日期:2009-03-13 修回日期:2009-05-11 出版日期:2009-06-16 发布日期:2009-06-16
  • 作者简介:秦民安,男,副主任医师,主要从事眼科学的临床研究。Email: qinminan666@126.com

Nasolacrimal duct dilating with mitomycin C for nasolacrimal duct obstruction

 QIN Min-An, FENG Mei-Yan   

  1. Department of Ophthalmology, Zaozhuang Municiple Hospital, Zaozhuang 277102, Shandong, China
  • Received:2009-03-13 Revised:2009-05-11 Online:2009-06-16 Published:2009-06-16

摘要:

目的   评价经鼻泪道扩张联合丝裂霉素C(MMC)治疗鼻泪管阻塞的疗效和临床应用价值。方法  将60例鼻泪管阻塞患者随机分为丝裂霉素组(A组)和硅胶管组(B组),经鼻泪道扩张后A组局部使用MMC,B组逆行置入硅胶管,随访6个月,观察治疗成功率。结果  经鼻泪道扩张联合MMC与逆行置入硅胶管术的疗效差异无统计学意义(P=0.058)。结论  经鼻泪道扩张联合MMC治疗鼻泪管阻塞可取得与逆行置入硅胶管术相似的临床疗效,具有操作简便、费用低廉、治疗时间短、创伤小、恢复快等优点。

关键词: 鼻泪管阻塞;泪道探通;丝裂霉素C;逆行置管术

Abstract:

Objective   To investigate the efficacy and practicability of through nasolacrimal duct dilating with mitomycin C in treatment of nasolacrimal duct obstruction. Methods  60 patients  were randomly divided into two groups: Group A received mitomycin C and Group B received a silicone stent.After nasolacrimal duct dilating,   mitomycin C was used in Group A, and a silicone stent was retrogradely placed in Group B. Results   Followed up for 6 months, efficacy of the two groups was not significantly different through a Chi square test. Conclusion   Nasolacrimal duct dilating with mitomycin C has similar clinical efficacy with retrograde placement of a silicone stent.  It  has many advantages, such as simple operation, cheap charge, short treatmenttime, small trauma, and quick resumption.

Key words: Nasolacrimal duct obstruction; Nasolacrimal canal probing;  Mitomycin C;  Retrograde placement of silicone stent

中图分类号: 

  • R766.33
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