【摘要】 目的探讨新型泪道探通针泪道探通后逆行置管的临床效果。方法收集我院2012年6月至2013年10月在我院确诊为泪道疾病需行逆行置管治疗的门诊患者106例(133只眼),doll’s随机数字法分为观察组53例(68只眼)和对照组53例(65只眼)。对照组采用传统钢针进行泪道探通,观察组采用新型泪道探通针探通,而后进行逆行置管。观察两组治疗有效率,置管成功率,自行脱管率,并发症发生情况。结果两组置管成功率及并发症(鼻腔出血、下睑肿胀)比较,P<0.05,差异具有统计学意义;术后6个月内两组置管自行脱落人数经统计学分析,P<0.05,差异具有统计学意义;术中观察组因痛疼需追加麻醉者2例,对照组9例,经比较,P<0.05,差异具有统计学意义。两组治疗有效率情况经Ridit分析发现,观察组稍优于对照组(观察组<对照组),两组R的95%置信区间均不包含0.5,差异具有统计学意义。结论新型泪道探通针泪道探通及鼻泪管义管置管术,价廉,操作简单,术中损伤小,患者更易接受,值得推广。更多还原

【Abstract】 Objective To investigate the clinical effect of retrograde catheterization after probing of lacrimal passage with a new type probing needle. Methods Author enrolled 106 patients( 133 eyes) who were diagnosed with lacrimal duct diseases and needed the retrograde catheterization in our hospital from June 2012 to October 2013. Patients were divided into two groups randomly. Fifty-three patients( 68 eyes) received lacrimal passage probing with a new type of probe,and the other 53 patients( 65 eyes) served as control by probing with a traditional needle. After probing,all patients underwent retrograde catheterization. We observed the treatment efficiency,success rate of catheterization,rate of self-decannulation and the complications. Results There were significant differences in success rate of catheterization and the complications( nasal bleeding,lower eyelid swelling) between two groups( P < 0. 05). Rate of self-decannulation at 6month was significantly different( P < 0. 05). There were 2 patients needed additional anesthesia in observation group,and 9 patients needed additional anesthesia in control group( P < 0. 05). The effective rate was slightly better in patients received probing with a new type of probe,revealed by using Ridit analysis,but this difference was not significant. Conclusion The new type lacrimal passage probing is an inexpensive,simple,and safe treatment. Patients are more likely to accept it.更多还原