[关键词]
[摘要]
目的:探讨应用鼻内窥镜下联合Nd:YAG(钇铝石榴石晶体Neodymium-doped Yttrium Aluminium Garnet)激光治疗复发性泪囊炎的可行性,并探讨其临床意义。
方法:患者48例在内窥镜下行泪道探通、Nd:YAG泪道激光、植入硬麻管道,于术后3~6mo拔管,随访3~18mo。
结果:本组48例48眼患者,46眼溢泪症状消失,治愈46眼,有效2眼,治愈率为100%,均无并发症发生。
结论:Nd:YAG激光联合泪道置管治疗复发性泪囊炎并发症少,操作简单,无瘢痕,不影响外观,值得在基层医院推广应用。
[Key word]
[Abstract]
AIM: To evaluate the feasibility and significance of nasal endoscope combined with Neodymium-doped Yttrium Aluminium Garnet(Nd:YAG)laser in the treatment of recurrent dacryocystitis.
METHODS: Forty-eight cases(48 eyes)with recurrent dacryocystitis were treated by nasal endoscope combined with Nd:YAG laser. The tubes were kept in place for 3-6mo after operation. The follow-up time was 3-18mo.
RESULTS: Symptoms was completely resolved in 46 eyes and improved in 2 eyes, the cure rate was 100%. There were no other complications.
CONCLUSION: Nasal endoscope combined with Nd:YAG laser provides an ideal therapeutic for recurrent dacryocystitis because of its many advantages such as a few complications, simple operation, no scars on face and so on and is fit for clinical application in primary hospitals.
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[基金项目]
中国温州市科技局课题资助项目(NO.YZ20010001)