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目的观察内固定硅胶管置入联合药物冲洗治疗鼻泪管阻塞的临床疗效。方法对49例(52眼)鼻泪管阻塞患者实施类Y形硅胶管逆行置入术,并定期给予药物冲洗。结果52眼中成功置入硅胶管51眼,手术成功率98.08%;术后随访6个月,治愈43例45眼,治愈率88.24%,好转3例4眼,好转率7.84%,总有效率96.08%,无效2例2眼。结论硅胶管置入联合药物冲洗治疗鼻泪管阻塞简便快捷,疗效肯定,且对慢性化脓性泪囊炎有效,特别适合在基层医院推广。
Objective To observe the clinical curative effect of internal fixation silicone tube in combination with drug flushing for the treatment of nasolacrimal duct obstruction. Methods A total of 49 cases (52 eyes) of nasolacrimal duct obstruction patients underwent retrograde implantation of Y-shaped silicone tube, and regular drug washout. Results The success rate of operation was 98.08% in 52 eyes, and the success rate was 98.08%. After the operation for 6 months, 43 cases were cured and 45 eyes were cured. The cure rate was 88.24%, improved in 3 cases and 4 eyes, the improvement rate was 7.84% and the total effective rate was 96.08 %, Invalid 2 cases 2 eyes. Conclusion Silicone tube into the combined drug flushing treatment of nasolacrimal duct obstruction is quick and easy, the curative effect is definite, and effective for chronic suppurative dacryocystitis, especially suitable for promotion in primary hospitals.