Lee J M, Song H Y, Han Y M, Chung G H, Sohn M H, Kim C S, Choi K C
Department of Diagnostic Radiology, Chonbuk National University Medical School, Chonju City, Korea.
Radiology. 1994 Aug;192(2):503-8. doi: 10.1148/radiology.192.2.8029423.
To evaluate the effectiveness of balloon dacryocystoplasty (DCP) in the treatment of complete and partial obstruction of the nasolacrimal system (NLS).
Fluoroscopically guided balloon DCP was attempted in 57 eyes of 50 consecutive patients with complete obstruction of the NLS and 24 eyes of 22 patients with partial obstruction of the NLS. With nasal endoscopic guidance, a 0.018-inch guide wire was introduced through the superior punctum into the inferior meatus of the nasal cavity and pulled out through the nare with a hemostat. A deflated angioplasty balloon catheter was introduced in a retrograde direction over the guide wire, and the balloon was dilated.
Initial technical and clinical success was achieved in 29 of 57 eyes (51%) with complete obstruction and 17 of 24 eyes (71%) with partial obstruction. The 2-year cumulative clinical patency rates were 25% and 20% for partial and complete obstructions, respectively. The overall cumulative patency rate for all 81 eyes was 23%.
Balloon DCP is simple and safe but has high failure and recurrence rates.
评估球囊泪囊成形术（DCP）治疗鼻泪管系统（NLS）完全性和部分性阻塞的有效性。
对50例连续患者的57只NLS完全阻塞眼和22例患者的24只NLS部分阻塞眼尝试进行荧光透视引导下的球囊DCP。在鼻内镜引导下，将一根0.018英寸的导丝经上泪小点插入鼻腔下鼻道，并用止血钳经鼻孔拉出。将一个未充气的血管成形术球囊导管沿导丝逆行插入，然后扩张球囊。
57只完全阻塞眼中的29只（51%）和24只部分阻塞眼中的17只（71%）在初始时获得了技术和临床成功。部分阻塞和完全阻塞的2年累积临床通畅率分别为25%和20%。所有81只眼的总体累积通畅率为23%。
球囊DCP简单且安全，但失败率和复发率较高。
