微小切口泪小管切开联合置入RS泪道引流管治疗泪小管炎48例

doi:10.6040/j.issn.1673-3770.0.2020.455

Abstract

Abstract: Objective To investigate the efficacy of small canalicular incision combined with RS-type lacrimal drainage tube in the treatment of 48 cases of canaliculitis. Methods Case-control study. 92 patients(92 eyes)with canaliculitis were collected. The study group of 48 patients(48 eyes)was treated with small canalicular incision combined with RS-type lacrimal drainage tube. The control group of 44 patients(44 eyes)was treated with conventional canalicular incision combined with annular silicone tube. The detection indictors were compared between two groups by statistical analysis, including the time of exposing the canaliculus, the time and patient's discomfort of placing the tube during the operation, the time of removing the tube and the clinical efficacy of half a year follow-up after the operation. Results In the study group, the time of exposing the canaliculus was(2.29±0.54)minutes, the time of placing the tube was(2.38±0.62)minutes. Nine patients(18.75%)suffered from discomfort and pain during placing the tube without nasal cavity bleeding. The time of removing the tube was(0.22±0.12 )minutes, 45 cases were cured(93.75%), 2 cases were improved(4.17%), and 1 case was invalid(2.08%)in half a year follow-up after the operation. In the control group, the time of exposing the canaliculus was(2.20±0.50)minutes, the time of placing the tube was(2.86±0.74)minutes. The patient's discomfort of placing the tube included 17 painful cases(38.64%)and 11 nasal-blooded cases(25%). The time of removing the tube was(1.42±0.62)minutes, 40 cases were cured(90.91%), 3 cases were improved(6.82%), and 1 case was invalid(2.27%)in half a year follow-up after the operation. Compared with the control group, there was no significant difference in the time of exposing the canaliculus and the clinical efficacy of half a year after operation in the study group(P=0.427 and 0.618, respectively). In the study group, the time of placing and removing the tube was short, and the discomfort of patients was slight. The difference was statistically significant(P=0.001 and 0.000, respectively). Conclusion Small canalicular incision combined with RS-type lacrimal drainage tube in the treatment of canaliculitis has less surgical damage, convenient operation and exact efficacy.

Key words: Canaliculitis, Canalicular incision, RS-type lacrimal drainage tube, Annular silicone tube, Small incision

CLC Number:

R777.2

WANG Lin, WANG Ting, SUN Kaijian, WANG Da, CHEN Linlin. Treatment of 48 cases of canaliculitis with small canalicular incision combined with RS-type lacrimal drainage tube[J].Journal of Otolaryngology and Ophthalmology of Shandong University, 2021, 35(1): 104-108.

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Treatment of 48 cases of canaliculitis with small canalicular incision combined with RS-type lacrimal drainage tube

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