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目的:观察加压泪道冲洗及插管治疗泪溢的疗效。方法:取棉签压住上泪小点,用5ml生理盐水(或加入庆大霉素4万μ)针筒冲洗下泪小管;泪道探针探通并逐步扩大泪道,截取6 cm长硬膜外麻醉导管置留于泪道中2个月～3个月,术后每间隔1周通过导管或由上泪点冲洗泪道。结果:经1次～3次泪道冲洗后即治愈者,123例占23.9%,经4次以上泪道冲洗后治愈者89例占17.3%,经一次泪道插管术后治愈者,206例占40%,有效64例,12.4%;无效33眼,占6.4%。结论:加压冲洗泪道及泪道插管对治疗泪道狭窄、泪道阻塞治疗效果明显,值得提倡。
Objective: To observe the effect of pressured lacrimal irrigation and intubation for treatment of diffuse tears. Methods: Cotton swabs were taken on the punctum and the lacrimal duct was washed with 5ml normal saline (or gentamicin 40,000μl). The lacrimal probe was probed and the lacrimal passage was gradually enlarged to take 6 cm long hard Extranodal anesthesia catheter placed in the lacrimal duct in 2 months to 3 months after surgery every 1 week through the catheter or punctured punctuation lacrimal duct. Results: After 1 to 3 lacrimal duct rinse, 123 cases accounted for 23.9%. After 4 times, 89 cases were cured by lacrimal duct rinse, accounting for 17.3%. After a lacrimal duct incision was cured, 206 Cases accounted for 40%, effective 64 cases, 12.4%; ineffective 33 eyes, accounting for 6.4%. Conclusion: Pressure lacrimal duct and lacrimal duct intubation for the treatment of lacrimal stenosis, lacrimal duct obstruction treatment is obvious, it is worth promoting.