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[用于鼻泪管阻塞的泪道支架]

[Lacrimal duct stent for nasolacrimal duct obstruction].

作者信息

Xiao Manyi, Jiang Youqin, Zhang Zishu

机构信息

Department of Ophthalmology, The Second Xiangya Hospital, Central South University, Changsha 410011, China.

出版信息

Zhonghua Yan Ke Za Zhi. 2002 May;38(5):289-91.

PMID:12133376
Abstract

OBJECTIVE

To introduce a new interventional procedure using lacrimal duct stent for the treatment of nasolacrimal duct obstruction, evaluate the short-term and long-term efficacy and observed its intra- and post-operative complications and management.

METHODS

102 cases (136 eyes) of nasolacrimal duct obstruction underwent the lacrimal duct stent placement, the nasolacrimal duct was dilated and the stent was placed retrograde. Digital subtraction dacryocystography was performed before and after the stent placement.

RESULTS

Stent placement was technically successful in 132 eyes, and the technical success rate was 97.1%. Good flow of contrast medium was obtained in all patients after stenting. Three months postoperatively, the success rate was 99.2%. After twelve months of follow-up, the success rate was 91.4%. The intra-and post-operative complications included stenting failure, transient hemorrhage and obstruction of the stent.

CONCLUSION

Interventional procedure using lacrimal duct stent is a safe, simple and effective method for nasolacrimal duct obstruction without disturbing the normal anatomy.

摘要

目的

介绍一种使用泪道支架治疗鼻泪管阻塞的新介入手术,评估其短期和长期疗效,并观察其术中及术后并发症及处理方法。

方法

102例(136眼)鼻泪管阻塞患者接受泪道支架置入术,逆行扩张鼻泪管并置入支架。在支架置入前后进行数字减影泪囊造影。

结果

132眼手术技术成功,技术成功率为97.1%。支架置入后所有患者造影剂流动良好。术后3个月成功率为99.2%。随访12个月后成功率为91.4%。术中及术后并发症包括支架置入失败、短暂出血和支架阻塞。

结论

使用泪道支架的介入手术是一种安全、简单且有效的治疗鼻泪管阻塞的方法,不会干扰正常解剖结构。

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