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激光泪道成形术联合抗代谢药物治疗泪道阻塞临床分析

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目的 分析激光泪道成形术联合抗代谢药物治疗泪道阻塞的临床疗效.方法 选取2015年7月~2017年2月在本院接受治疗的72例泪道阻塞患者作为研究对象,有84只眼(有鼻泪管阻塞眼23只,慢性泪囊炎眼16只,泪小管阻塞眼45只),所有患者均接受激光累到成形术联合抗代谢药物治疗,术后对泪道进行冲洗,并对患者进行为期3个月的随访,分析本组患者的临床治疗情况与并发症情况.结果 接受手术治疗3个月后,71只眼治愈,构成比为84.52%;10只眼好转,构成比为11.90%;3只眼治疗失败,构成比为3.57%.本组患者中有1例在神经阻滞麻醉时发生眼眶周血肿,对症治疗恢复正常后1周接受手术,并发症发生率为1.19%.结论 应用激光泪道成形术联合抗代谢药物对泪道阻塞进行治疗,具有手术操作简单,疗效显著且并发症率低的优点,具有临床推广应用价值,但应严格控制丝裂霉素的应用剂量,术后对泪道进行冲洗,并做好抗菌预防,以降低并发症发生率,提高临床治疗效果.
Clinical analysis of laser lacrimal ductoplasty combined with anti -metabolic drugs in the treatment of lacrimal passage obstruction
Objective To analyze the laser lacryocystoplasty combined with antimetabolites in the treatment of lacrimal duct obstruction clinical curative effect. Methods 72 cases of lacrimal duct from July 2015 to February 2017 in our hospital for treatment of COPD patients as the research object, 84 eyes (23 eyes with nasolacrimal duct obstruction and chronic dacryocystitis 16 eyes in tears tubular obstruction and 45 eyes). All patients underwent laser angioplasty combined with tired to anti metabolic drug treatment, postoperative flushing of lacrimal duct, and for a period of 3 months of follow-up of patients, analysis of clinical treatment in this group of patients with complications of surgery. Results After 3 months of treatment , 71 eyes were cured, accounting for 84.52%; 10 eyes were better, accounting for 11.90%; 3 eyes of treatment failure, accounting for 3.57%. patients in this group had 1 cases of orbital hematoma in nerve block anesthesia, symptomatic treatment returned to normal 1 weeks after surgery, the complication rate was 1.19%. Conclusion The application of laser lacryocystoplasty combined with anti drug metabolism of lacrimal duct obstruction were treated with simple operation, obvious curative effect and low complication rate advantages, has the value of clinical application, but should strictly control the application of Dose Mitomycin, postoperative flushing of lacrimal duct, and good antibacterial prophylaxis, and to reduce the The incidence of the disease and the effect of clinical treatment.

anti-metabolic drugslaser lacrimal ductoplastylacrimal duct obstructionclinical efficacycomplications

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青岛眼科医院 医务处 山东 青岛 266071

抗代谢药物 激光泪道成形术 泪道阻塞 临床疗效 并发症

2017

中国生化药物杂志
南京生物化学制药研究所,全国生化制药情报中心站,中国生化制药工业协会,中国药品生物制品检定所

中国生化药物杂志

ISSN:1005-1678
年,卷(期):2017.37(9)
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