泪小管切开联合激光置管术治疗泪小管炎的临床研究

目的 观察并总结泪小管炎的临床特征及患者行泪小管切开联合激光+置管术的疗效,探讨该治疗方法的可行性.方法 回顾性分析泪小管炎的30例(31眼)患者临床资料,采用YAG激光疏通泪道后再行泪小管切开联合环形引流管植入术,术后根据患者病情恢复情况于3～6个月后拔除泪道引流管,并继续跟踪随访半年.结果 30例患者中29例患者经治疗后症状明显减轻并消除,1例患者症状仍持续.结论 选择泪小管壶腹部切开联合激光置管术能有效治愈泪小管炎,值得临床使用并推广.

Clinical analysis of lacrimal duct YAG-laser combined with canaliculotomy plus the placement of drainage tubes for the treatment of canaliculitisLIU Yi,LU Jiang,ZHANG Yun,SHI Yeqin (Department of Ophthalmology,The Third Affiliated Hospital of Nantong University,Wuxi,Jiangsu 226000,China) Abstract:Objective

Objective To observe and summarize the clinical features of canaliculitis and the efficacy of lacrimal duct YAG-laser combined with canaliculotomy plus the placement of drainage tubes for the treatment of canaliculitis,and to explore the feasibility of this method. Methods In this retrospective study,a review was performed of 30 patients(31 eyes) diagnosed with lacrimal canaliculitis who underwent treatment.YAG-laser was adopted to dredge the lacrimal duct before canaliculotomy combined with placement of circular lacrimal drainage tubes.Lacrimal drainage tubes were removed after 3 to 6 months according to the recovery situation of the patients,who were then followed up for 6 months. Results The symptoms of 29 patients were obviously alleviated and eliminated among 30 patients. Conclusions Lacrimal duct YAG-laser combined with canaliculotomy plus the placement of drainage tubes for the treatment of canaliculitis is effective,which is worth to be clinically used and popularized.