KTP 激光联合环形硅胶管植入治疗泪道阻塞的安全性及疗效分析

目的 探究使用KTP 激光联合环形硅胶植入手术治疗泪道阻塞的疗效以及术后并发生症情况。方法 选取2012 年3 月-2015 年3 月河北省眼科医院142 例泪道阻塞患者作为研究对象，根据的不同的治疗方法随即分为两组，并分别进行KTP 激光联合环形硅胶管植入手术治疗以及单纯KTP 激光治疗，比较两组的疗效以及术后的并发症、复发率情况。结果 观察组以及对照组的手术后6 个月的总有效率分别为92.13% 和81.18%，差异有统计学意义（P <0.05），观察组低于对照组；观察组患者的满意度评分与对照组比较，差异有统计学意义（P <0.05），观察组高于对照组；观察组的并发症发生率和复发率与对照组比较，差异有统计学意义（P <0.05），观察组均低于对照组。结论 使用KTP 激光联合环形硅胶管治疗泪道阻塞在提高疗效，减少并发症以及复发率方面有明显的优势，值得在临床中广泛使用。

Safety and efficacy of KTP laser combined annular silicone tube implantation for treatment of lacrimal duct obstruction

Objective To study the efficacy of KTP laser combined annular silicone tube implantation fortreatment of lacrimal duct obstruction and the complications. Methods Totally 142 cases with lacrimal ductobstruction in our hospial from March 2012 to March 2015 were chosen as research subjects. Depending on thedifferent treatment methods, they were randomly divided into observation group and control group. The patientsin the observation group were given KTP laser combined with annular silicone tube implantion, while those iin thecontrol group only received KTP laser treatment. The therapeutic effect, postoperative complications and recurrencerate were compared between the two groups. Results The total effective rate 6 months after surgery was 92.13% inthe observation group which was significantly higher than 81.18% in the control group (P < 0.05). The satisfactionscore in the observation group was significantly higher than that in the control group (P < 0.05). The incidence ofcomplications and recurrence rate in the observation group were significantly lower than those in the control group(P < 0.05). Conclusions For treatment of lacrimal duct obstruction, KTP laser combined with annular silicone tubeimplantation can improve the efficacy and reduce complications and recurrence rate. It is a very worthwhile treatmentprogram in clinic.