目的:探讨泪点或泪小管狭窄合并鼻泪管阻塞或合并慢性泪囊炎的泪道引流管治疗方法。方法:临床诊断为泪点或泪小管狭窄合并鼻泪管阻塞或合并慢性泪囊炎的患者23例28眼,经泪道探通后,采用泪道引流管[1]和硅胶管联合置入治疗。结果:术后4mo拔管,随诊1a,患者23例28眼中,23眼无溢泪,泪道冲洗通畅,为治愈,治愈率82%。2眼少许溢泪,泪道冲洗时另一泪点少许返流,探针可达骨壁,可以入咽,为好转,好转率为7%。2眼泪道冲洗原路返流,针头不能达骨壁为无效;1眼泪道冲洗时探针可达鼻骨,但再次出现脓性分泌物,为无效,无效率为11%。结论:鼻泪管引流管和硅胶管联合置入是治疗泪道系统多点阻塞有效的治疗方法。

AIM:To investigate the clinical treatment method and efficacy of the artificial nasolacrimal duct and silicone tube conjunct implantation in treatment of lacrimal puncta or lacrimal canaliculus stenosis with nasolacrimal duct obstruction or chronic dacryocystitis.METHODS:Twenty-three cases (28 eyes) were diagnosed with lacrimal puncta or lacrimal canaliculus stenosis with nasolacrimal duct obstruction or chronic dacryocystitis,after nasolacrimal duct probing they were treated with the artificial nasolacrimal duct and silicone tube conjunct implantation.RESULTS:Removed the artificial nasolacrimal duct and silicone tube at the end of the fourth month after surgery and followed-up for 1 year.23 eyes of 23 cases (28 eyes) were cured with no epiphora,the cure rate was 82%.2 eyes were improved with slight epiphora,the improvement rate was 7%.Lacrimal canaliculi were still obstructive in 2 eyes,and 1 eyes reappeared pyoid secretion,which were ineffective,the ineffective rate was 11%.CONCLUSION:The artificial nasolacrimal duct and silicone tube conjunct implantation is effective in treatment of lacrimal puncta or lacrimal canaliculus stenosis with nasolacrimal duct obstruction or chronic dacryocystitis.

R779.6