KTP激光联合环形硅胶管植入治疗泪道阻塞的安全性及疗效分析
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摘要
目的探究使用KTP激光联合环形硅胶植入手术治疗泪道阻塞的疗效以及术后并发生症情况。方法选取2012年3月-2015年3月河北省眼科医院142例泪道阻塞患者作为研究对象,根据的不同的治疗方法随即分为两组,并分别进行KTP激光联合环形硅胶管植入手术治疗以及单纯KTP激光治疗,比较两组的疗效以及术后的并发症、复发率情况。结果观察组以及对照组的手术后6个月的总有效率分别为92.13%和81.18%,差异有统计学意义(P<0.05),观察组低于对照组;观察组患者的满意度评分与对照组比较,差异有统计学意义(P<0.05),观察组高于对照组;观察组的并发症发生率和复发率与对照组比较,差异有统计学意义(P<0.05),观察组均低于对照组。结论使用KTP激光联合环形硅胶管治疗泪道阻塞在提高疗效,减少并发症以及复发率方面有明显的优势,值得在临床中广泛使用。
Objective To study the efficacy of KTP laser combined annular silicone tube implantation for treatment of lacrimal duct obstruction and the complications. Methods Totally 142 cases with lacrimal duct obstruction in our hospial from March 2012 to March 2015 were chosen as research subjects. Depending on the different treatment methods, they were randomly divided into observation group and control group. The patients in the observation group were given KTP laser combined with annular silicone tube implantion, while those iin the control group only received KTP laser treatment. The therapeutic effect, postoperative complications and recurrence rate were compared between the two groups. Results The total effective rate 6 months after surgery was 92.13% in the observation group which was significantly higher than 81.18% in the control group(P < 0.05). The satisfaction score in the observation group was significantly higher than that in the control group(P < 0.05). The incidence of complications and recurrence rate in the observation group were significantly lower than those in the control group(P < 0.05). Conclusions For treatment of lacrimal duct obstruction, KTP laser combined with annular silicone tube implantation can improve the efficacy and reduce complications and recurrence rate. It is a very worthwhile treatment program in clinic.
Objective To study the efficacy of KTP laser combined annular silicone tube implantation for treatment of lacrimal duct obstruction and the complications. Methods Totally 142 cases with lacrimal duct obstruction in our hospial from March 2012 to March 2015 were chosen as research subjects. Depending on the different treatment methods, they were randomly divided into observation group and control group. The patients in the observation group were given KTP laser combined with annular silicone tube implantion, while those iin the control group only received KTP laser treatment. The therapeutic effect, postoperative complications and recurrence rate were compared between the two groups. Results The total effective rate 6 months after surgery was 92.13% in the observation group which was significantly higher than 81.18% in the control group(P < 0.05). The satisfaction score in the observation group was significantly higher than that in the control group(P < 0.05). The incidence of complications and recurrence rate in the observation group were significantly lower than those in the control group(P < 0.05). Conclusions For treatment of lacrimal duct obstruction, KTP laser combined with annular silicone tube implantation can improve the efficacy and reduce complications and recurrence rate. It is a very worthwhile treatment program in clinic.
引文
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[2]李剑洪.泪囊鼻腔吻合术与激光泪道形成术在临床治疗慢性泪囊炎中的应用价值比较[J].中国现代医学杂志,2014,24(11):98-101
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[6]LEE J,CHOI S Y,LEE H,et al.The clinical effectiveness of transcanalicular diode laser-assisted revision surgery for failed endoscopic endonasal dacryocystorhinostomy[J].Br J Ophthalmol,2015,99(8):1130-1133.
[7]ROSIQUE L L,LAJARA B J,ROSIQUE A M.Usefulness of local postoperative care after laser dacryocystorhinostomy[J].Acta Otorrinolaringol Esp,2013,64(4):279-282.
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[9]KAYNAK P,OZTURKER C,YAZGAN S,et al.Transcanalicular diode laser assisted dacryocystorhinostomy in primary acquired nasolacrimal duct obstruction:2-year follow up[J].Ophthal Plast Reconstr Surg,2014,30(1):28-33.
[10]TA?KIRAN,??MEZ A,KARADA?O,et al.Comparison of transcanalicular diode laser dacryocystorhinostomy and external dacryocystorhinostomy in patients with primary acquired nasolacrimal duct obstruction[J].Lasers Surg Med,2014,46(4):275-280.
[11]江毓玲.不同术式治疗慢性泪囊炎及鼻泪管阻塞疗效系统评价[J].安徽医药,2014,18(12):2283-2286.
[12]吕瑾,黄群,朱莉静,等.泪道激光成形术+义管植入术治疗泪道阻塞的临床观察[J].海南医学,2012,23(3):77-78.
[13]周华丽.泪道浚通术联合硅胶管植入治疗老年泪道阻塞性疾病的疗效[J].中华老年学杂志,2015,35(3):774-776
[14]SHAMS P N,SELVA D.An endoscopic endonasal approach to dacryocystectomy[J].Orbit,2013,32(2):134-136.
[2]李剑洪.泪囊鼻腔吻合术与激光泪道形成术在临床治疗慢性泪囊炎中的应用价值比较[J].中国现代医学杂志,2014,24(11):98-101
[3]MIMURA M,UEKI M,OKU H,et al.Indications for and effects of Nunchaku-style silicone tube intubation for primary acquired lacrimaldrainage obstruction[J].Jpn J Ophthalmol,2015,59(4):266-272.
[4]ANDALIB D,MANSOORI H.A comparison between monocanalicular and pushed monocanalicular silicone intubation in the treatment of congenital nasolacrimal duct obstruction[J].Int J Ophthalmol,2014,7(6):1039-1042.
[5]KOCH K R,KüHNER H,CURSIEFEN C,et al.Significance of transcanalicular laser assisted dacryocystorhinostomy in modern lacrimal drainage surgery[J].Ophthalmologe,2015,112(2):122-126.
[6]LEE J,CHOI S Y,LEE H,et al.The clinical effectiveness of transcanalicular diode laser-assisted revision surgery for failed endoscopic endonasal dacryocystorhinostomy[J].Br J Ophthalmol,2015,99(8):1130-1133.
[7]ROSIQUE L L,LAJARA B J,ROSIQUE A M.Usefulness of local postoperative care after laser dacryocystorhinostomy[J].Acta Otorrinolaringol Esp,2013,64(4):279-282.
[8]邓里,岳辉.鼻泪管阻塞三种不同手术方式的临床观察[J].中国现代医学杂志,2015,25(3):83-85.
[9]KAYNAK P,OZTURKER C,YAZGAN S,et al.Transcanalicular diode laser assisted dacryocystorhinostomy in primary acquired nasolacrimal duct obstruction:2-year follow up[J].Ophthal Plast Reconstr Surg,2014,30(1):28-33.
[10]TA?KIRAN,??MEZ A,KARADA?O,et al.Comparison of transcanalicular diode laser dacryocystorhinostomy and external dacryocystorhinostomy in patients with primary acquired nasolacrimal duct obstruction[J].Lasers Surg Med,2014,46(4):275-280.
[11]江毓玲.不同术式治疗慢性泪囊炎及鼻泪管阻塞疗效系统评价[J].安徽医药,2014,18(12):2283-2286.
[12]吕瑾,黄群,朱莉静,等.泪道激光成形术+义管植入术治疗泪道阻塞的临床观察[J].海南医学,2012,23(3):77-78.
[13]周华丽.泪道浚通术联合硅胶管植入治疗老年泪道阻塞性疾病的疗效[J].中华老年学杂志,2015,35(3):774-776
[14]SHAMS P N,SELVA D.An endoscopic endonasal approach to dacryocystectomy[J].Orbit,2013,32(2):134-136.