新型RS泪道引流管和环形硅胶管置入术治疗泪小管断裂的疗效
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江苏省青年医学重点人才培养项目(No.QNRC2016140)


Efficacy of RS-type lacrimal drainage tube and annular silicone tube placement in the treatment of lacrimal canaliculus laceration
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Key Young Medical Talents Training Project of Jiangsu Province(No.QNRC2016140)

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    摘要:

    目的:观察新型RS泪道引流管和环形硅胶管置入术治疗泪小管断裂的疗效及安全性。

    方法:回顾性研究。选取2018-08/2021-08我院泪小管断裂患者64例64眼,根据治疗方式不同,分为RS泪道引流管置入术组34眼和环形硅胶管置入术组30眼。比较两组患者术后3、6mo临床疗效、手术时间、术后眼睑肿胀消退时间、并发症情况。

    结果:RS泪道引流管置入术组和环形硅胶管置入术组患者术后3mo(94% vs 87%)和术后6mo总有效率(91% vs 83%)比较均无差异(均P<0.05); RS泪道引流管置入术组手术时间、术后眼睑肿胀消退时间均明显短于环形硅胶管置入术组(均P<0.001); RS泪道引流管置入术组患者并发症总发生率低于环形硅胶管置入术组(12% vs 33%,P=0.037)。

    结论:RS泪道引流管和环形硅胶管置入术治疗泪小管断裂均能获得良好疗效,但RS泪道引流管治疗的患者手术时间更短,术后恢复更快,并发症较少,安全性更好。

    Abstract:

    AIM:To observe the efficacy and safety of RS-type lacrimal drainage tube and annular silicone tube placement in the treatment of lacrimal canaliculus laceration.

    METHODS: Retrospective study. A total of 64 patients(64 eyes)with lacrimal canaliculus laceration were selected, and divided into group A(34 eyes treated with RS-type lacrimal drainage tube placement)and group B(30 eyes treated with annular silicone tube placement)according to different treatment. Clinical effect, operation time, regression time of postoperative eyelid swelling and complications at 3 and 6mo after surgery were compared between the two groups.

    RESULTS:There was no statistically significant difference in the total response rate between the two groups at 3mo(94% vs. 87%)and 6mo(91% vs. 83%)after operation(all P<0.05). The operation time and regression time of postoperative eyelid swelling of group A were significantly shorter than those of group B(all P<0.001). The total incidence of complications in group A was significantly lower than that in group B(12% vs. 33%, P=0.037).

    CONCLUSION:Both RS-type lacrimal drainage tube placement and annular silicone tube placement are effective in the treatment of lacrimal canaliculus laceration. However, the operation time of patients treated with RS-type lacrimal drainage tube is shorter, and patients recover faster after operation. In addition, the complications are fewer, and it is safer.

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刘文慧,邹文军,王峰,等.新型RS泪道引流管和环形硅胶管置入术治疗泪小管断裂的疗效.国际眼科杂志, 2022,22(12):2091-2094.

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  • 收稿日期:2022-07-05
  • 最后修改日期:2022-11-09
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  • 在线发布日期: 2022-11-29
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