李道远,谢萍,江军,冯秉民
LI Daoyuan,XIE Ping,JIANG Jun,FENG Bingmin

• 1:贵州医科大学眼科学教研室

摘要(Abstract)：

目的:观察微创泪道旁路(MICDCR)联合METAIREAU型义管植入术的治疗效果。方法:12名MICDCR联合METAIREAU型义管植入术患者,术后第1、3及6月随访,观察患者有无溢泪症状,义管探通、冲洗是否通畅;裂隙灯及鼻内窥镜检查义管两端开口是否通畅、义管有无移位和组织覆盖,记录荧光素消失试验(FDDT)结果;术后6个月时发放调查量表,对患者眼部症状、生活质量及满意度等11项指标进行调查。结果:术后1月FDDT阴性7例、阳性5例、2例患者义管阻塞,义管冲洗和鼻啌清理后通畅;术后3月FDDT阴性9例、阳性3例;3例出现义管阻塞,行结膜肉芽组织切除术并烧灼局部软组织后义管畅通;术后6月时1例行泪道冲洗时脱出,放弃再次植宫,11例患者FDDT均为阴性,总体满意度为83.3%。结论:MICDCR联合METAIREAU型义管植入术可作为泪道原位再通术的补充方法,但存在一定的并发症,需长期随访期间处理。
Objective: To analyze the efficacy of minimally invasive lacrimal bypass surgery combined with METAIREAU implantation. Methods: one month, three months and 6 months of follow-up visit of 12 patients received minimally invasive lacrimal bypass combined with METAIREAU implantation, observing whether there was epiphora symptom, tube probing and rinsing fluently or not; slit lamp and nasal endoscope were used to detect both ends of tube were unobstructed, tube translocating or not, tissue covering, FDDT results. Six months later, patients were given forms to investigate on 11 indexes including eye condition, life quality and satisfaction degree. Results: One month after surgery, seven cases were FDDT negative, five cases were positive; three months after surgery, nine cases were negative and three were positive; six months later, all patients were FDDT negative(one case experienced tube prolapse while rinsing), general satisfaction degree was 83.3%. Conclusion: METAIREAU tube implantation can be used as a supplementary method of minimal invasive lacrimal duct in lacrimal passage recanalization, but some complications need to be treated during follow-up.

关键词(KeyWords)： 泪道阻塞;METAIREAU型义管;泪道旁路术;微创泪道旁路
lacrimal duct obstruction;METAIREAU tube;lacrimal bypass;minimally invasive lacrimal bypass

Abstract:

Keywords:

基金项目(Foundation): 国家自然科学基金项目(31760294);; 贵州省科技合作计划项目[黔科合LH字(2015)7388];; 贵州省教育厅科技人才成长项目[黔教合KY字(2018)186];; 贵州医科大学2018年度学术新苗培养及创新探索专项项目[黔科合平台人才(2018)5779-28];; 贵州省科技厅科技平台及人才团队计划[黔科合平台人才(2018)5608];; 贵州省科学技术基金计划[黔科合基础(2016)1120]

作者(Author): 李道远,谢萍,江军,冯秉民
LI Daoyuan,XIE Ping,JIANG Jun,FENG Bingmin

DOI: 10.19367/j.cnki.1000-2707.2019.10.017

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