脉冲Nd:YAG激光治疗泪道阻塞

目的　探讨 Nd:YAG激光泪道成形术的疗效及再次激光联合插管治疗复发病例的疗效。方法　采用国产 L EK- 0 80 0 SK Nd:YAG脉冲激光泪道治疗机 ,对 4 5例 (5 0只眼 )行激光泪道成形术 ;对复发病例 ,再次行激光联合插管治疗。结果　 4 5例 (5 0只眼 )经一次激光治疗 4 8只眼获得治愈 ;有 2只眼形成假道 ,一周后再次激光治疗获得治愈。术后有 12只眼复发 ,经再次激光联合插管治疗 10只眼治愈 ,2只眼未愈。本组治愈率 96 %。结论　 Nd:YAG激光泪道成形术治疗泪道阻塞性疾病操作简便、手术安全、疗效高 ,可重复性好 ;复发病例联合插管治疗可以提高治愈率

The use of pulse laser in lacriminal obstruction

Objective To discuss the curative effect of laser canaliculonaso lacrimaloplasty in lacriminal obstruction and repeated laser canaliculonaso lacrimaloplasty associated with lacriminal intubation in recrudescent patients.Methods Homemade LEK 0800SK ND:YAG pulse laser therapy apparatus was used in therapies.50 eyes of 45 patients suffered lacriminal obstruction received laser canaliculonaso lacrimaloplasty.Recrudescent cases received repeated laser canaliculonaso lacrimaloplasty associated with lacriminal intubation.Results The lacriminal obstructions of 48 eyes were released after once operation.In the other two eyes pseudo passages were found and the obstructions were released by repeated operation 7 days later.Lacriminal obstructions recurred later in 16 cases,14 cases of which were cured by repeated laser canaliculonasolacrimaloplasty associated with lacriminal intubation.The cure rate was 96%.Conclusion Nd:YAG laser canaliculonaso-lacrimaloplasty is a kind of easy,safe,effective and repeatable therapy for lacriminal obstruction.Lacriminal intubation can improve the effect of laser canaliculonaso-lacrimaloplasty.