泪道激光术后留置泪道引流管与药物灌注治疗泪道阻塞的疗效对比观察

目的:比较泪道激光术后药物灌注与留置泪道引流管两种方法治疗阻塞性泪道疾病的临床效果。方法:将Nd:YAG激光疏通泪道,A组38例40眼,激光疏通泪道后联合新型泪道引流管留置3mo。B组45例49眼,激光疏通泪道后注入典必殊药膏。术后随访3～6mo,对比分析两组的治疗效果。结果:泪道激光疏通术后留置泪道引流管与药物灌注,两种方法均有明显效果。治愈33眼,治愈率82.5%,好转4眼,好转率10.0%,总有效率92.5%;B组:治愈21眼,治愈率42.9%,好转13眼,好转率26.5%,总有效率69.4%。经统计学分析两组间差异有显著性意义(χ2=7.291,P<0.05)。结论:泪道激光治疗泪道阻塞性疾病安全有效,联合留置新型泪道引流管治疗泪道阻塞方法疗效明显提高。

Comparison of the curative effect between lacrimal drainage tube implantation and disemboguing drug after laser deoppilation for the treatment of lacrimal ducts obstruction

AIM:To compare and evaluate the clinical effects of combination of lacrimal drainage tube implantation and disemboguing drug after laser deoppilation for patients with obstruction of lacrimal ducts.·METHODS:Eighty-three patients(89 eyes) were divided into 2 groups randomly.38 patients(40 eyes) in group A were treated with combination of Nd:YAG laser and indwelling lacrimal drainage tube.Tube was kept in place for 3 months after laser deoppilation;other 45 patients(49 eyes) in group B were treated with disembo-gued Tobra-Dex after laser deoppilation.All the patients after operation were followed up for 3-6 months,and ultimate results were compared and analyzed.·RESULTS:Symptoms was completely resolved in 33 eyes(82.5%) and improved in 4 eyes(10.0%),and the total efficiency was 92.5% in group A.Symptoms was completely resolved in 21 eyes(42.9%) and improved in 13 eyes(26.5%),the total efficiency was 69.4% in group B.There were significant diferences between the two groups(P<0.05).·CONCLUSION:Laser deoppilation seems to be effective and convenient in lacrimal ducts obstruction treatment,which combined with lacrimal drainage tube implantation would obtain a better effect to treat the obstruction of lacrimal ducts.