泪小管前壁切除逆行置管术治疗扩张型泪小管炎的效果

目的 观察泪小管前壁切除逆行置管术治疗扩张型泪小管炎的临床疗效。方法 选择2016年5月~2018年8月在我院行手术治疗的70例扩张型泪小管炎患者，按手术方式分为对照组和实验组，各35例。对照组采用泪小管切开引流术，实验组行泪小管前壁切除逆行置管术。比较两组手术效果及术后复发情况。结果 实验组治愈率为94.29%，高于对照组的60.00%，差异具有统计学意义（P＜0.05）；实验组复发率为0，低于对照组的28.57%，差异具有统计学意义（P＜0.05）。结论 采用泪小管前壁切除逆行置管术可恢复扩张型泪小管炎患者的泪道引流功能，远期临床疗效较高，同时可降低术后复发率。

Effect of Retrograde Catheterization of Anterior Wall of Lacrimal Canaliculitis for Treatment of Dilated Tear Ductitis

Objective To observe the clinical efficacy of retrograde catheterization of the anterior wall of the lacrimal canaliculitis for the treatment of dilated tear ductitis.Methods 70 patients with dilated lacrimal canaliculitis who underwent surgery in our hospital from May 2016 to August 2018 were divided into control group and experimental group, 35 cases in each group. The control group was treated with tear duct incision and drainage. The experimental group underwent retrograde catheterization of the anterior wall of the lacrimal canal. The effects of surgery and recurrence were compared between the two groups.Results The cure rate of the experimental group was 94.29%, which was higher than that of the control group was 60.00%,the difference was statistically significant (P<0.05). The recurrence rate of the experimental group was 0, which was lower than that of the control group was 28.57%,the difference was statistically significant (P<0.05).Conclusion The retrograde catheterization of the anterior wall of the lacrimal canaliculitis can restore the lacrimal drainage function in patients with dilated lacrimal ductitis. The long-term clinical effect is higher and the recurrence rate can be reduced.