Liermann D, Berkefeld J, Fries U, Schalnus R W, Gümpel H
Department of Radiology, Hospital of the Johann Wolfgang Goethe University, Frankfurt am Main, Germany.
Ophthalmologica. 1996;210(6):319-24. doi: 10.1159/000310732.
Twenty-two patients with severe epiphora due to relative (n = 13) or absolute (n = 9) stenoses of the nasolacrimal duct were treated by means of radiologically guided balloon dacryocystoplasty. The recanalization was performed with a steerable microguide wire with flexible tip, which was advanced through the lacrimal draining system and manipulated out of the nasal cavity. A 3-mm PTA balloon was then introduced from the nasal site. In 20 of 22 cases the procedure was technically successful. Dacryocystography proved a normal lumen in 9 of 20 patients and an improvement without impairment of flow in another 8 cases. Two months after dilation a clear regression of epiphora could be demonstrated in 17 of 20 patients. The procedure was complicated by the occurrence of 2 reobstructions within the first 3 months; other serious side effects were not observed.
22例因鼻泪管相对狭窄（n = 13）或绝对狭窄（n = 9）导致严重溢泪的患者，接受了影像学引导下的球囊泪囊成形术治疗。使用可操纵的柔性尖端微导丝进行再通，该导丝穿过泪道引流系统并从鼻腔引出。然后从鼻腔置入一个3毫米的经皮腔内血管成形术（PTA）球囊。22例中有20例手术在技术上成功。泪囊造影显示，20例患者中有9例管腔正常，另有8例虽未完全恢复通畅但有所改善。扩张术后两个月，20例患者中有17例溢泪明显减轻。该手术的并发症为术后前3个月内出现2例再阻塞；未观察到其他严重副作用。
