改良泪道引流管置管术治疗泪道阻塞性患者的临床分析
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摘要
目的探讨改良泪道引流管置管术治疗泪道阻塞性患者的临床效果。方法选取2017年1月—2018年9月间该院收治的泪道阻塞性疾病患者50例(共48眼)为该次研究对象,随机将患者分成观察组和对照组,每组25例(24眼),观察组患者采用改良泪道引流管置管术进行治疗,对照组患者采用传统泪道引流管置管术进行治疗,比较分析两组患者的临床治疗效果。结果观察组患者的临床治疗效果显著高于对照组,两组相比差异有统计学意义(χ~2=5.014,P<0.05)。结论改良泪道引流管置管术不但具备传统泪道置管术的优势,还能够显著减小手术期间的潜在风险,并且能够使得患者所承受的手术创伤与经济负担减小,其治疗效果是非常理想的,具备较大的眼科临床应用与推广意义。
Objective To investigate the clinical effect of modified lacrimal drainage tube catheterization in the treatment of patients with lacrimal duct obstruction. Methods 50 patients(48 eye) with lacrimal duct obstructive disease admitted to our hospital from January 2017 to September 2018 were included for the study and were randomly divided into observation group and control group, 25 cases(24 eyes) in each group. The observation group was treated with modified lacrimal drainage tube catheter, and the control group was treated with traditional lacrimal drainage. Tube placement was performed for treatment, and the clinical treatment effects of the two groups were compared. Results The clinical treatment effect of the observation group was significantly higher than that of the control group. The difference between the two groups was statistically significant(χ~2=5.014, P <0.05). Conclusion Improved lacrimal drainage tube catheterization not only has the advantages of traditional lacrimal duct catheterization, but also significantly reduces the potential risks during surgery, and can reduce the surgical trauma and economic burden of patients. The therapeutic effect is very ideal, with a large clinical application and promotion significance of ophthalmology.
Objective To investigate the clinical effect of modified lacrimal drainage tube catheterization in the treatment of patients with lacrimal duct obstruction. Methods 50 patients(48 eye) with lacrimal duct obstructive disease admitted to our hospital from January 2017 to September 2018 were included for the study and were randomly divided into observation group and control group, 25 cases(24 eyes) in each group. The observation group was treated with modified lacrimal drainage tube catheter, and the control group was treated with traditional lacrimal drainage. Tube placement was performed for treatment, and the clinical treatment effects of the two groups were compared. Results The clinical treatment effect of the observation group was significantly higher than that of the control group. The difference between the two groups was statistically significant(χ~2=5.014, P <0.05). Conclusion Improved lacrimal drainage tube catheterization not only has the advantages of traditional lacrimal duct catheterization, but also significantly reduces the potential risks during surgery, and can reduce the surgical trauma and economic burden of patients. The therapeutic effect is very ideal, with a large clinical application and promotion significance of ophthalmology.
引文
[1]叶健章,阮远飞,袁煜宗.改良泪道引流管置管术治疗泪道阻塞性疾病的临床效果[J].深圳中西医结合杂志,2018,28(6):182-184.
[2]廖润斌,张世华,李娜.两种泪道引流管治疗泪道阻塞的疗效比较[J].国际眼科杂志,2017,17(5):998-1001.
[3]王华.改良的泪道引流管置管术治疗泪道阻塞性疾病的临床效果[J].江苏医药,2016,42(13):1504-1505.
[4]罗朝华.泪道置管术治疗泪道阻塞临床疗效观察[J].北方药学,2014,11(9):151.
[5]施国忠.泪道引流管植入术治疗泪道阻塞的临床观察[J].临床眼科杂志,2013,21(6):546.
[6]王羽琦,张熙伯,余玲.泪道激光与高频电灼联合不同类型引流管植入治疗鼻泪管阻塞的疗效观察.医学理论与实践,2016,29(12):1560-1562.
[7]李红霞.改良泪道逆行置管治疗泪道阻塞疗效观察.中国实用医药,2016,11(14):96-97.
[8] Eric A, Steele.Conjunctivodacryocystorhinostomy with Jones tube:a history and update.Wolters Kluwer Health,2016,27(5):439-442.
[9] Adriaan D. Coumou, Stijn W. Genders, Trudy M. Smid,Pee rooz Saeed.Endoscopic dacryocystorhinostomy:longterm experience and outcomes[J].Acta Ophthalmologica.2017,95(1):74-78.
[10]高岩.泪道置管术治疗泪道疾病.中国实用眼科杂志2015:33(10):1081-1082.
[2]廖润斌,张世华,李娜.两种泪道引流管治疗泪道阻塞的疗效比较[J].国际眼科杂志,2017,17(5):998-1001.
[3]王华.改良的泪道引流管置管术治疗泪道阻塞性疾病的临床效果[J].江苏医药,2016,42(13):1504-1505.
[4]罗朝华.泪道置管术治疗泪道阻塞临床疗效观察[J].北方药学,2014,11(9):151.
[5]施国忠.泪道引流管植入术治疗泪道阻塞的临床观察[J].临床眼科杂志,2013,21(6):546.
[6]王羽琦,张熙伯,余玲.泪道激光与高频电灼联合不同类型引流管植入治疗鼻泪管阻塞的疗效观察.医学理论与实践,2016,29(12):1560-1562.
[7]李红霞.改良泪道逆行置管治疗泪道阻塞疗效观察.中国实用医药,2016,11(14):96-97.
[8] Eric A, Steele.Conjunctivodacryocystorhinostomy with Jones tube:a history and update.Wolters Kluwer Health,2016,27(5):439-442.
[9] Adriaan D. Coumou, Stijn W. Genders, Trudy M. Smid,Pee rooz Saeed.Endoscopic dacryocystorhinostomy:longterm experience and outcomes[J].Acta Ophthalmologica.2017,95(1):74-78.
[10]高岩.泪道置管术治疗泪道疾病.中国实用眼科杂志2015:33(10):1081-1082.