目的:通过比较顺行式泪道插管与单纯泪道冲洗治疗的疗效,探讨治疗泪道阻塞的方法。方法:对泪道阻塞患者140例140眼随机分为观察组和对照组,其中观察组75眼行顺行式泪道插管,单纯泪道冲洗组65眼对照眼,术后随访6～12mo。结果:观察组治愈65眼,治愈率86.7%,复发1眼,对照组治愈45眼,治愈率69.2%,复发2眼,两组治愈、复发率比较均有显著性。结论:顺行法程氏泪道插管术具有操作简单、方便易行、经济实用等优点,该项治疗泪道阻塞方法的方法适于在基层医院推广。

AIM:To explore the means of therapy for obstruction of lacrimal ducts through comparison of antegrade lacrimal intubation and simple lacrimal irrigation.METHODS: Totally 140 eyes (140 patients) with obstruction of lacrimal ducts were divided into observation group and control group randomly. 75 eyes in observation group received antegrade lacrimal intubation and those in control group received simple lacrimal irrigation. They were followed up for 6 months to 1 years postoperatively.RESULTS: Sixty-five eyes were cured in observation group, the cure rate was 86.7%, and one eye recurred; 45 eyes were cured in control group, the cure rate was 69.2%, and 2 eyes recurred. There was significant effect between two groups about cure rate and recurrence rate.CONCLUSION:Antegrade lacrimal intubation has the advantages of simplicity of operation, easy operating, convenient service, economic practicality and etc. It is easy to apply and operate in basic hospital.

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