泪道置管术治疗泪道阻塞的疗效及影响因素

目的:探讨泪道成形术联合硅胶置管术治疗泪道阻塞的疗效以及影响因素。方法:2012-05/12在我院门诊就诊的泪道阻塞患者141例146眼,行泪道成形术联合泪道硅胶引流管治疗,术后随诊3～6mo,观察泪道再通率以及泪道阻塞的部位、患者年龄以及病程对手术效果的影响。结果:患者141例146眼中总的治愈率为82.9%(121眼),好转率13.7%(20眼),无效率3.4%(5眼)。其中,泪总管阻塞的治愈率(87.2%)高于泪小管阻塞的(82.9%)以及鼻泪管阻塞的(75.9%),但差异没有统计学意义(χ2=2.20,P=0.69)。青年组治愈率为(88.4%)高于中老年组(82.4%)和老年组(75.9%),但差别也没有统计学意义(χ2=2.56,P=0.63)。病程<10a的治愈率为93.8%,而病程≥10a的治愈率为74.4%,差别有统计学意义(χ2=9.58,P=0.009)。结论:泪道成形术联合泪道置管术是治疗泪道阻塞简单有效的方法,患者的病程可能是影响治愈率的主要因素。

Efficacy and influence factors of lacrimal duct intubation for the treatment of lacrimal duct obstruction

AIM： To investigate the efficacy and influence factors of lacrimal plastic operation combined with lacrimal duct intubation for the treatment of lacrimal duct obstruction. METHODS： Totally 141 cases （146 eyes） with lacrimal duct obstruction treated in our hospital during May 2012 to December 2012 were selected, followed up for 3- 6 months. The lacrimal recanalization rate, position of lacrimal duct obstruction, age and disease process to surgery effect were observed. RESULTS： The general recurrence rate in 141 cases （146 eyes） was 82.9% （121 eyes）, improved rate was 13.7% （20 eyes）, no effect was 3.4% （5 eyes）. The cure rate of Lacrimal duct obstruction （87. 2%） was higher than lacrimal canalicular obstruction （82.9%） and nasolacrimal duct obstruction （75. 9%）, but there was no statistical difference （P〉 0. 05）. The cure rate of young group （88.4%） was higher than middle age group （82.4%） and senile group （75. 9%）, but there was no statistical difference （P〉0.05）. The cure rate of less 10 years was 93. 8%, more than 10 year was 74. 4%, there was statistical difference （χ2 = 9.58, P〈0.001 = 0. 009）. CONCLUSION： Lacrimal plastic operation combined with lacrimal duct intubation for the treatment of lacrimal duct obstruction is simple and efficacy. The patients＇ process may be the main reason of cure rate.