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自制内涵管介入治疗溢泪症38例分析 被引量:2

Analysis of endoluminal therapy for epiphora with self-produced internal tube on 38 patients
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摘要 目的 介绍溢泪症的自制内涵管置入治疗。方法 对38例45只鼻泪管阻塞(鼻泪管与泪囊连接处)置放自制内涵管治疗,按Song方法顺行引入导丝,逆行放入内涵管。术前与术后做泪囊、鼻泪管造影。结果所有鼻泪管在术后造影均通畅,最长随访390d,放置内涵管前,所有病例均有Ⅲ-Ⅳ度流泪程度,放内涵管后半年内,40只(90%)流泪明显好转,2只28d移位,4只6个月后阻塞,取出内涵管重新放置又恢复通畅。结论用自制内涵管置入治疗泪囊以下阻塞是一种安全、简单及有效的方法,不需住院、经济费用低、很值得推广。 Objective To introduce the therapy of epiphora symptoms with self-produced internal tube. Methods Thirty eight eases (45 eyes) of naselaerimal duct obstruction underwent the self-produced internal tube placement according to Song's method. The lead guide wire was inserted into lacrimal duct step by step from earudieulus laermalis and then pushed a self-produced internal tube along the lead wire to have daeryoeystography and nasolaerimal duct photography before and after the tube placement. Results All the eases proved patent after the treatment by nasolaerimalography with longest follow up time of 390 days. Before lacrimal intubaration, all the eases with tear-dropping of Ⅲ-Ⅳ level showed 40 eyes(90% )symptom obviously turning better, including 2 eyes in 28 days and 4 eyes in 6 month later. Conclusions Interventional treatment of daeryocyst to nasolacrimal duct is a safe, easy, and effective method.
出处 《介入放射学杂志》 CSCD 2006年第3期172-173,共2页 Journal of Interventional Radiology
关键词 自制内涵管 溢泪症 治疗 介入 Self-produce internal tube Interventional Epiphora symptoms
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  • 1Lee JM, Song HY, Han YM, et al. Balloon dacryocystoplasty: results in the treatment of complete and partial obstruction of the nasolacrimal system. Radiology,1994,192:503-508.
  • 2Janssen AJ, Mansour K, Bos JJ, et al. Abscess of the lacrimal sac due to chromic or subacute dacryocystitis: treatment with temporary stent placement in the nasolacrimal duct. Radiology, 2000, 215:300-304.
  • 3Song HY, Jin YH, Kim JH, et al. Nonsurgical placement of a nasolacrimal polyurethane stents.Radiology,1995,194:233-237.
  • 4Hartikainen J, Grenman R, Puukka P, et al. Prospective randomized comparison of external dacryocystorhinostomy and endonasal laser dacryocystorhinostomy. Opthalmology, 1998,105:1106-1113.
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  • 7Song HY, Lee DH, Ahn H, et al. Lacrimal system obstruction treated with lacrimal polyurethane stents: outcome of removal of occluded stents. Radiology, 1998; 208:689-694.
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共引文献13

同被引文献10

  • 1岳辉,肖满意.鼻泪管支架植入术治疗慢性泪囊炎的临床观察[J].眼科新进展,2004,24(3):209-210. 被引量:26
  • 2BURNS JA, CABILL KV. Modified dacryocystorhinostomy: A review of 122 cases [J]. Ophthalmic Surg, 1985, 16: 710-716.
  • 3ALLEN K, BERLIN AJ. Dacryocystorhinostomy failure: association with nasolacrimal silicone intubation [J]. Ophthalmic Surg, 1989, 20: 486-489.
  • 4SONG HY, JIN YH, KIM H J, et al. Nonsurgical placement of a nasolacrimal polyurethane stent [J]. Radiology, 1995, 194: 233-237.
  • 5SONG HY, JIN YH, KIM H J, et al. Nonsurgical placement of a nasolacrimal polyurethane stents long-term effectivenrss[J]. Radiology, 1996, 200: 759-763.
  • 6SONG HY, LEE DH, AHN HS, et al. Lacrimal system obstruction treatment with lacrimal polyurethane stents : outcome of removal of occluded stents [J]. Radiology, 1998, 208: 689-694.
  • 7Song HY, Jin YH, Kim HJ, et al. Nonsurgical placement of a nasolacrimal polyurethane stent[J]. Radiology, 1995, 194:233 - 237.
  • 8Song HY, Jin YH, Kim H J, et al. Nonsurgical placement of a nasolacrimal polyurethane stents long-term effectiveness [J]. Radiology, 1996, 200: 759- 763.
  • 9Song HY, Lee DH, Ahn HS, et al. Lacrimal system obstruction treatment with lacrimal polyuretbane stents : outcome of removel of occluded stents[J]. Radiology. 1998, 208:689 - 694.
  • 10肖满意,张子曙.国产鼻泪管支架的研制应用[J].湖南医科大学学报,2001,26(3):229-230. 被引量:12

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