激光治疗泪道阻塞临床分析

目的探讨不同方法泪道激光治疗泪道阻塞的疗效。方法对我院1999年10月～2002年6月采用脉冲Nd:YAG激光对189例(208眼)进行激光泪道成形术并对激光加泪道硅胶留置管或激光加药物灌注治疗泪道阻塞性疾病的疗效加以比较。结果在治疗的189例(208眼)中,激光加泪道硅胶留置管方法治疗101例(110眼),治愈79眼,好转7眼,有效率为78.18%;激光加药物灌注方法治疗泪道阻塞性疾病88例(98眼),治愈67眼,好转9眼,有效率77.55%。两组有效率进行比较χ2检验χ2=0.012,P>0.05两组疗效差异无显著意义。结论泪道激光成形术是泪道阻塞安全、有效的治疗方法。

A clinical analysis of lacrimal duct occlusion with Nd:YAG laser assisted dacryocystoplasty

Objective To discuss the efficacy of different methods of curing lacrimal duct occulusion with laser assisted dacryocytoplasty. Method A retrospective study was made from 1991 to 2000.a total of 189 patients (208 eyes) were treated with lacrimal plastic operation with Nd:YAG laser and the therapeutic effects were compared between two groups. Result Among 189 patients(208 eyes),101 patients (110 eyes)were treated by laser assisted dacryocytoplasty and insertion of silicone tube,79 eyes were symptom-free,7 eyes were turn for the better,the effective rate was 78.18%; 88 patients (98 eyes) were treated by laser assisted dacryocytoplasty and irrigation with medicine,67 eyes were symptom-free,9 eyes were turn for the better,the effective rate was 77.55%.There was no obvious difference between the two groups (P>0.05). Conclusion The results revealed that the method of laser assisted dacryocystoplasty is effective and safe in lacrimal duct occlusion.