Tien David Robbins, Young David
Department of Ophthalmology, Hasbro Children's Hospital, 2 Dudley Street, Providence, RI 02905, USA.
J AAPOS. 2005 Oct;9(5):465-7. doi: 10.1016/j.jaapos.2005.05.004.
Our purpose is to report our experience with balloon catheter dilation of the nasolacrimal duct after failed probing for congenital nasolacrimal duct obstruction.
We undertook a retrospective chart review. Patients who were enrolled had symptoms of persistent nasolacrimal duct obstruction after simple probing and irrigation. Balloon nasolacrimal ductoplasty was performed using the LacriCATH system (Quest Medical, Inc. An Atrion Company, Allen, TX). Outcomes were determined by postoperative examination and telephone follow-up.
Thirty-nine lacrimal systems of 26 patients (age range, 10 months to 84 months) were treated. Of the obstructed ducts treated, 82% (32/39) showed resolution of epiphora. There were 9 children older than the age of 2, with 15 nasolacrimal systems studied. These had 11 of 15 successes for a success rate of 73%. There were 17 children between the ages of 10 months and 2 years with 24 nasolacrimal systems studied. These had 21 of 24 successes for a success rate of approximately 88%. The difference was not statistically significant (P = 0.28).
Balloon dilation of the nasolacrimal duct is an alternative to silicone intubation in the treatment of congenital nasolacrimal duct obstruction after failed simple probing. Although our success rate was slightly lower than some published reports of nasolacrimal system intubation, this simple and atraumatic procedure was successful in 82% of cases for this specific situation.
我们旨在报告对先天性鼻泪管阻塞探通失败后行球囊导管扩张术的经验。
我们进行了一项回顾性病历审查。纳入的患者在单纯探通和冲洗后仍有持续性鼻泪管阻塞症状。使用LcriCATH系统（Quest Medical公司，一家Atrion公司，得克萨斯州艾伦市）进行球囊鼻泪管成形术。通过术后检查和电话随访确定结果。
对26例患者（年龄范围10个月至84个月）的39个泪器系统进行了治疗。在接受治疗的阻塞导管中，82%（32/39）的溢泪症状得到缓解。有9名2岁以上儿童，研究了15个鼻泪管系统。其中15个中有11个成功，成功率为73%。有17名年龄在10个月至2岁之间的儿童，研究了24个鼻泪管系统。其中24个中有21个成功，成功率约为88%。差异无统计学意义（P=0.28）。
鼻泪管球囊扩张术是先天性鼻泪管阻塞单纯探通失败后硅胶插管治疗的一种替代方法。虽然我们的成功率略低于一些已发表的鼻泪管系统插管报告，但在这种特定情况下，这种简单且无创的手术在82%的病例中取得了成功。
