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目的 评价自制带线医用塑料管逆行插管治疗泪道阻塞及慢性泪囊炎的疗效。方法 对 10 6例 135眼鼻泪管阻塞及慢性泪囊炎病人采用自制的带线医用塑料管逆行插管治疗 ,术后插管留置 2～ 3个月 ,每周 2～ 3次用生理盐水加庆大霉素、地塞米松冲洗泪道 ,鼻泪管炎症消退、粘膜修复后拔管。结果 一次性插管的 10 6例 135眼中治愈 12 6眼 ,治愈率 93 3% ,未治愈的 9眼再行插管治疗后治愈 4眼 ,未愈 5眼 ,总治愈率 96 3% ;随访 3～ 9年 ,治愈者无复发。结论 自制带线医用塑料管逆行插管治疗泪道阻塞及慢性泪囊炎是一种简单有效的方法。
Objective To evaluate the curative effect of lacrimal duct obstruction and chronic dacryocystitis with retrograde intubation of self-made medical plastic tube. Methods 106 cases of 135 eyes with nasolacrimal duct obstruction and chronic dacryocystitis were treated with retrograde intubation with self-made medical plastic tube. Postoperative intubation was performed for 2 to 3 months, with saline 2-3 times a week Plus gentamicin, dexamethasone rinse lacrimal duct, nasolacrimal duct inflammation subsided, extubation after mucosal repair. Results One-time intubation of 10 6 cases of 135 eyes cured 12 6 eyes, the cure rate of 93 3%, 9 cases of untreated cannula after treatment of 4 cases cured, unhealed 5, the total cure rate of 96 3%; follow-up 3 to 9 years, no recurrence of cure. Conclusion Retrograde cannulation with self-made medical plastic tube is a simple and effective method for the treatment of lacrimal duct obstruction and chronic dacryocystitis.