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Nd:YAG激光治療泪道阻塞134例
引用本文:鄧金印,陳燕,李育蘭,酈全福,易魁先,趙岐,韓蘇寧,鄭鲜娜. Nd:YAG激光治療泪道阻塞134例[J]. 国际眼科杂志, 2002, 2(2): 40-41
作者姓名:鄧金印  陳燕  李育蘭  酈全福  易魁先  趙岐  韓蘇寧  鄭鲜娜
作者单位:510010,中國廣州軍區廣州總醫院眼科
摘    要:目的 探讨国产泪道激光机治疗泪道阻塞的临床价值。方法 采用国产Nd:YAG汨道激光机治疗各种原因所致的泪道阻塞134例 148眼。结果 148眼中,治愈(溢泪症状消失,泪道冲洗通畅)113眼占76.4%;好转(溢泪症状减轻,泪道冲洗通而不畅)8眼占5.4%;无效27眼占18.2%失败病例为慢性泪夔炎19眼,单纯性鼻泪管阻塞3眼,泪小管阻塞5眼,其中3眼形成假道。结论 国产Nd:YAC激光治疗泪道阻塞具有操作简便,组织损伤小,极少出血等优点 尤其是泪小管阻塞,传统的各种手术方法操作难度大,成功率低,而激光治疗相对简便,在表麻下完成,且治愈率也较高 但慢性泪囊炎行激光治疗效果不理想。

关 键 词:激光  治疗  泪道阻塞
修稿时间:2002-04-27

Nd:YAG laser treatment of 134 patients with tear duct blockage
Jinyin Deng,Yan Chen,Ynlan Li,et al.. Nd:YAG laser treatment of 134 patients with tear duct blockage[J]. International Eye Science, 2002, 2(2): 40-41
Authors:Jinyin Deng  Yan Chen  Ynlan Li  et al.
Affiliation:Jinyin Deng,Yan Chen,Ynlan Li,et al. Department of Ophthalmology,General Hospital of Guangzhou Military Command. Guangzhou 510010 China
Abstract:Objective To investigate the clinical value of Nd: YAG laser (made in China) in treatment of tear duct blockage. Methods Na:YAG laser was applied to treat 148 eyes (134 patients) with tear duet blockage from various causes. Results Among the 148 eyes. 113 (76.4%) were cured, in which epiphora disappeared and tear duel was unobstructed: 8 (5.4%) improved, in which epiphora turned better and tear duct remained partially blocked; 27 (18.2) failed, among which 19 resulted from chronic dacncystilis, 3 from simple obstruction of naso-laerimal duct and 5 from obstruction of lacrimal canalicnlus. Conclusion In treatment of tear duet blockage. Xd: Y'AG laser is superior to traditional surgical treatment in that it is simple to operate, causes less damage and almost no bleeding. However, its effect is not satisfactory for chronic dacrvevstitis.
Keywords:Nd:YAG laser Treatment Tear duet blockage
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