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

摘要/Abstract

摘要： 目的探讨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例的临床疗效。方法病例对照研究,选取泪小管炎患者92例(92眼)入组。48例(48眼)行微小切口泪小管切开联合置入RS泪道引流管作为研究组, 44例(44眼)行常规泪小管切开联合置入环形泪道引流管作为对照组。对两组术中暴露泪小管管腔的时间、置管的时间、置管时患者的不适感、术后拔管的操作时间及随访半年的临床效果进行统计学分析。结果研究组术中暴露泪小管管腔的时间(2.29±0.54)min,置管的时间(2.38±0.62)min,置管时患者的不适感疼痛9例(18.75%)、无鼻腔出血,术后拔管的操作时间(0.22±0.12)min,术后半年45例治愈(93.75%)、2例好转(4.17%)、1例无效(2.08%)。对照组术中暴露泪小管管腔的时间(2.20±0.50)min,置管的时间(2.86±0.74)min,置管时患者的不适感疼痛17例(38.64%)、鼻腔出血11例(25%),术后拔管的操作时间(1.42±0.62)min,术后半年40例治愈(90.91%)、3例好转(6.82%)、1例无效(2.27%)。研究组暴露泪小管管腔的时间、术后半年的临床疗效,与对照组相比差异无统计学意义(P分别为0.427、0.618)。研究组手术置管及拔管的操作时间短、患者的不适感轻微,与对照组相比差异有统计学意义(P分别为0.001、0.000)。结论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手术损伤小、手术操作便捷、效果确切。

关键词: 泪小管炎, 泪小管切开术, RS泪道引流管, 环形泪道引流管, 微小切口

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

中图分类号:

R777.2

王琳,王婷,孙凯建,王达,陈琳琳. 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[J]. 山东大学耳鼻喉眼学报, 2021, 35(1): 104-108.

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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