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

doi:10.6040/j.issn.1673-3770.0.2017.256

Abstract

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

CLC Number:

R777.2

WANG Xingcun, ZHU Liqiang, ZUO Wenyuan, MENG Zhiqiang, LIU Yang, TI Tongxin. Clinical outcomes of micro-drill recanalization and artificial nasolacrimal duct implantation with fifth-generation lacrimal endoscopy to treat nasolacrimal duct obstruction[J].J Otolaryngol Ophthalmol Shandong Univ, 2018, 32(5): 93-96.

References 12

[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.

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

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