[关键词]
[摘要]
目的：观察逆行泪道置管术治疗鼻泪管阻塞的临床疗效和安全性。
方法：选取2010-08/2011-02我院就诊的鼻泪管阻塞患者92例106眼，在局部麻醉下将泪道再通管逆行置入鼻泪管内，术后3～6mo拔管，拔管后随访12～18mo。
结果：术后92例106眼均一次植管成功，常规3～6mo拔管。其中84例97眼患者拔管时泪道冲洗通畅，拔管后1a有效率91.5%。
结论：硅胶管逆行置管治疗鼻泪管阻塞操作安全、创伤小、时间短、出血少、疗效好，是治疗鼻泪管阻塞的有效方法。
[Key word]
[Abstract]
AIM: To evaluate the safety and efficacy of retrograde lacrimal intubation for treatment of nasolacrimal duct obstruction.
METHODS: This study included 92 patients(106 eyes)with nasal lacrimal duct obstruction from August 2010 to February 2011. Retrograde intubation was performed with local anesthesia for all cases, and, the tube was removed after 3-6 months. Then, the patients were followed up for 12-18 months.
RESULTS: The intubation was successful in all eyes, and the tubes were removed conventionally at 3-6 months. Among them 84 patients(97 eyes)were unobstructed when the tubes were removed, and the effective rate was 91.5%.
CONCLUSION: Retrograde lacrimal intubation is safe, minimal invasion, effective, less bleeding and good efficacy, is an effective way to cure nasolacrimal duct obstruction.
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