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     

Nd:YAG激光联合泪道置管术治疗泪道阻塞

目的观察Nd:YAG激光联合改良泪道置管术治疗泪道阻塞的效果。方法泪道阻塞患者64例(64眼),在激光疏通的基础上,同时行改良泪道置管术治疗泪道阻塞,置管3个月以上,定期冲洗。结果随访6～12个月,64眼中治愈50眼,好转10眼,无效4眼,无1例发生并发症。结论对泪道阻塞采用Nd:YAG激光疏通,联合改良泪道置管术,能较好的防止泪道再阻塞。     

泪道激光成形联合置管术治疗复发性泪道阻塞疗效观察

目的 探讨Nd:YAG激光泪道成形术,联合泪道置管治疗复发性泪道阻塞的临床疗效.方法 对76例(91只眼)复发性泪道阻塞采用Nd:YAG激光治疗,并泪道置管3个月,术后定期冲洗泪道.结果 随访6～24月,治愈65只眼,占71.4%;好转11只眼,占12.1%,总有效率83.5%.无效15只眼,占16.5%.结论 Nd:YAG激光泪道成形术联合泪道置管治疗复发性泪道阻塞效果好,并发症少,操作简单,值得推广应用.     

Nd:YAG激光泪道成形术治疗泪道阻塞性疾病

我院于2000年8月至2002年5月,采用Nd:YAG激光泪道治疗机,对77例83眼各种泪道阻塞患者进行了激光泪道成形术的治疗,取得了良好效果,报告如下.     

Nd:YAG激光治疗泪道阻塞

目的：评价掺钕钆铝石榴石激光器（Neodymium:Yttrium Aluminum Garnet,Nd:YAG)激光治疗泪道阻塞的临床疗效。方法：用Nd:YAG激光治疗泪道阻塞26例（34眼），并对泪道阻塞不同部位者进行疗效分析。结果：先天性泪道内残留隔膜，泪小管阻塞和泪总管阻塞用Nd:YAG激光治疗效果满意，鼻泪管阻塞则疗效欠佳。结论：泪道阻塞用Nd:YAG激光治疗是一种简便而有效的治疗方法。     

泪道激光成形联合置管术治疗复发性泪道阻塞疗效观察

Objective To investigate the therapeutic effects of Nd:YAG laser plastic operation com-bined implantation tube for patients with recurrent lacrimal duct obstruction. Methods Seventy-six patients (91eyes) with recurrent lacrimal duct obstruction were treated by means of Nd:YAG laser,and supporting canal was left in the lacrimal duct for 3 months. Irrigating lacrimal duct was applied regularly. Results After followed up 6～24 months, epiphora of 65 eyes (about71.4% ) was disappear, the symptom of 11 eyes (about 12.1% ) was alleviated,and the total efficiency was 83.5%. The symptom of 15 eyes (about 16.5% ) hadn't been changed. Conclusion Nd:YAG laser plastic operation and implantation tube can be used safely and ef-fectively for treating recurreut lacrimal duct obstruction with less complication by simple operation. It' s worth being promoted.     

泪道激光成形联合置管术治疗复发性泪道阻塞疗效观察

Objective To investigate the therapeutic effects of Nd:YAG laser plastic operation com-bined implantation tube for patients with recurrent lacrimal duct obstruction. Methods Seventy-six patients (91eyes) with recurrent lacrimal duct obstruction were treated by means of Nd:YAG laser,and supporting canal was left in the lacrimal duct for 3 months. Irrigating lacrimal duct was applied regularly. Results After followed up 6～24 months, epiphora of 65 eyes (about71.4% ) was disappear, the symptom of 11 eyes (about 12.1% ) was alleviated,and the total efficiency was 83.5%. The symptom of 15 eyes (about 16.5% ) hadn't been changed. Conclusion Nd:YAG laser plastic operation and implantation tube can be used safely and ef-fectively for treating recurreut lacrimal duct obstruction with less complication by simple operation. It' s worth being promoted.     

泪道激光成形联合置管术治疗复发性泪道阻塞疗效观察

Objective To investigate the therapeutic effects of Nd:YAG laser plastic operation com-bined implantation tube for patients with recurrent lacrimal duct obstruction. Methods Seventy-six patients (91eyes) with recurrent lacrimal duct obstruction were treated by means of Nd:YAG laser,and supporting canal was left in the lacrimal duct for 3 months. Irrigating lacrimal duct was applied regularly. Results After followed up 6～24 months, epiphora of 65 eyes (about71.4% ) was disappear, the symptom of 11 eyes (about 12.1% ) was alleviated,and the total efficiency was 83.5%. The symptom of 15 eyes (about 16.5% ) hadn't been changed. Conclusion Nd:YAG laser plastic operation and implantation tube can be used safely and ef-fectively for treating recurreut lacrimal duct obstruction with less complication by simple operation. It' s worth being promoted.     

泪道激光成形联合置管术治疗复发性泪道阻塞疗效观察

Objective To investigate the therapeutic effects of Nd:YAG laser plastic operation com-bined implantation tube for patients with recurrent lacrimal duct obstruction. Methods Seventy-six patients (91eyes) with recurrent lacrimal duct obstruction were treated by means of Nd:YAG laser,and supporting canal was left in the lacrimal duct for 3 months. Irrigating lacrimal duct was applied regularly. Results After followed up 6～24 months, epiphora of 65 eyes (about71.4% ) was disappear, the symptom of 11 eyes (about 12.1% ) was alleviated,and the total efficiency was 83.5%. The symptom of 15 eyes (about 16.5% ) hadn't been changed. Conclusion Nd:YAG laser plastic operation and implantation tube can be used safely and ef-fectively for treating recurreut lacrimal duct obstruction with less complication by simple operation. It' s worth being promoted.     

泪道激光联合新型泪道支架植入治疗鼻泪管阻塞

目的：探讨Nd:YAG激光联合新型泪道支架植入治疗鼻泪管阻塞的疗效。 方法：鼻泪管阻塞者26例29眼在激光泪道疏通后,植入新型泪道支架。术后定期冲洗泪道。 结果：随访9～12mo,治愈22眼,好转5眼,总有效率93％。无效2眼（7％）。 结论：泪道激光联合新型泪道支架治疗鼻泪管阻塞操作安全简便,对组织损伤小,是治疗鼻泪管阻塞、慢性泪囊炎的有效方法。     

脉冲Nd：YAG激光治疗泪道阻塞的疗效观察

评价脉冲Ｎｄ：ＹＡＧ激光对泪阻塞的疗效方法４５例泪道阻塞,采用脉冲Ｎｄ：ＹＡＧ激光对阻塞部位进行气化疏通,联合药物灌注。结果随访３－１２月,治愈４２例,好转３眼,无效７眼,总有效率８６．３８％。     

Nd:YAG激光治疗不同部位泪道阻塞的临床疗效分析

目的: 分析Nd:YAG激光治疗泪道阻塞的临床疗效以及对不同阻塞部位的有效率的分析。方法: 对2009-02/2011-12我院门诊840例920眼不伴有泪囊炎的泪道阻塞患者,均采用Nd:YAG脉冲激光机治疗,其中泪小管阻塞134眼,鼻泪管阻塞786例眼,术后行连续4d妥布霉素地塞米松或复方硫酸新霉素滴眼液泪道冲洗。分别对单纯泪小管和鼻泪管阻塞患者进行3mo随访。结果: 总有效率76.2%,其中泪小管阻塞有效94眼,有效率70.1%。鼻泪管阻塞有效607眼,有效率77.2%,单纯鼻泪管阻塞患者的有效率高于单纯泪小管阻塞患者。结论: Nd:YAG激光治疗单纯泪道阻塞(不伴泪囊炎)具有理想的疗效,方法简单易行,有效率高,患者痛苦小,并发症少,花费少,无效患者后续可选替代治疗方案多,可以作为单纯泪道阻塞疾病的首选方案。激光泪道成形术对单纯鼻泪管阻塞患者的有效率略高于单纯泪小管阻塞。     

ND:YAG激光治疗阻塞性泪道疾病的对比观察

本文报告了Nd:YAG激光治疗各种阻塞性泪道疾病103例167眼,其中泪小狭窄3例6眼,治愈6眼,治愈率100%;泪小管及泪总管阻塞35例59眼,治愈50例,治愈率84.7%;单纯鼻泪管阻塞25例40眼,治愈35眼,治愈率87.5%;慢性泪囊炎37例62眼,治愈51眼,治愈率82.3%。该方法是将导光纤维插入泪道腔内,用激光从腔内切除瘢痕,息肉等阻塞物,疏通泪道,恢复导泪功能,具有操作简便,组织损伤小,再通效果好。颜面部不遗留瘢痕,治愈率高等特点。经临床观察未见严重并发症,是一种理想和有前途的治疗方法。     

Nd：YAG激光及全泪道灌洗术治疗泪道阻塞

目的探讨泪道阻塞的治疗方法。方法应用Nd：YAG疏通泪道，插置多孔硅胶管支撑，使用灭滴灵、氯霉素、地塞米松、α－糜蛋白酶配制的四联药液加压灌洗全泪道。结果泪小管阻塞治愈率为93．6％，鼻泪管阻塞治愈率为90．9％，泪道多段阻塞治愈率为88．9％。结论该方法简单、经济、泪道再通效果好．颜面部不遗留瘢痕，并可重复治疗。     

脉冲Nd:YAG激光联合置管术治疗泪道阻塞性疾病疗效分析

目的 探讨脉冲Nd:YAG激光及激光联合置管术治疗泪道阻塞性疾病临床疗效.方法 回顾性病例分析.应用Nd:YAG激光及激光联合置管术治疗泪道阻塞性疾病共472例514只眼.结果 (1)泪小管阻塞的留置U形硅胶管及留置硬膜外导管的治愈率分别为75％及70％,高于单纯YAG激光的治愈率31％,P＜0.05.(2)泪总管及鼻泪管阻塞留置U形硅胶管治愈率100％,高于单纯YAG激光的治愈率65％,P＜0.05.(3)泪囊炎留置U形管、留置硬膜外导管及逆行植入人工鼻泪管的治愈率分别为55％、60％、78％,明显优于单纯YAG激光治疗.结论 单纯YAG激光对于各种原因的泪道阻塞虽然疏通率均较高,但治愈率除泪总管、鼻泪管阻塞较好外,其他均不理想,特别是对于泪囊炎疗效较差.而激光联合植入其他引流管似可在一定程度上提高各种原因泪道阻塞的短期治愈率.     

泪道激光成形联合泪道植管术治疗泪道阻塞

目的探讨泪道激光成形联合泪道植管术对泪道阻塞的治疗效果。方法68例（85眼）泪道阻塞行泪道激光成形联合泪道植管手术，术后随访，观察泪道引流泪液功能的恢复情况。结果随访半年以上，经泪道冲洗，77眼泪道保持通畅（90．59％），7眼通而不畅（8．3％），1眼不通（1．18％）。结论泪道激光联合泪道植管术治疗泪道阻塞是一种有效的方法。     

儿童激光泪道成形术的疗效观察

目的 评价儿童的泪道阻塞和慢性泪囊炎施行Nd：YAG激光泪道成形术的疗效。方法 将带针芯泪道探针按常规探通方法探至泪道阻塞处，拔出针芯，插入光纤达阻塞处，激光击射至击穿为止，联合药物灌注。共治疗37例39眼。结果 随访3～12月，治愈32眼(82．05％)，失败7眼(17．95％)。结论 激光治疗儿童泪道阻塞性疾病安全有效，并发症少。