目的:观察类Y型硅胶管逆行置入术治疗泪道阻塞疾病的临床效果。方法:对380例428眼泪道阻塞患者,行类Y胶管支架逆行置管术,随访4wk～6mo,观察其疗效。结果:380例428眼患者取管当日泪道冲洗全部通畅,溢泪症状明显改善或消失。随访342例388眼4wk～6mo,治愈率90.7%,有效率98.7%,复发率1.3%。结论:类Y型硅胶管逆行置管术治疗泪道阻塞是一种简单、经济、安全、有效的治疗方法。

AIM:To observe the clinical effects of using "Y"-shape kieselgel tube flyback embedding to treat obstruction of lacrimal passages.·METHODS:All 380 patients(428 eyes) with obstruction of lacrimal passages were treated with "Y"-shape kieselgel tube stent flyback embedding.Clinical effects were analyzed after the patients were observed for 4 weeks-6 months.·RESULTS:All 380 patients lacrimal passages(428 eyes)were unobstructed when the "Y"-shape kieselgel tubes were removed,the symptom of epiphora vanished or improved obviously.342 patients (388 eyes) were observed for 4 weeks-6 months,the cure and effective rate were 90.7% and 98.7%,the relapse rate was 1.3%.·CONCLUSION:The way of using "Y"-shape kieselgel tube stent flyback embedding to treat obstruction of lacrimal passages is simple,economical,safe and effective.

R779.6