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目的:评价类 Y 形硅胶管逆行置入术治疗泪道阻塞的临床效果。方法:本文对90例(102只眼)泪道阻塞病人实施了类 Y 形硅胶管逆行置入术。病人可以住院或亦可在门诊手术。治疗一年时随访20只眼,治愈率75.00%,有效率95.00%;治疗半年时随访90只眼,治愈率79.30%,有效率94.50%;治疗三个月时随访102只眼,治愈率91.50%;有效率99.00%。结论:类 Y 形硅胶管逆行置入术是一种颜面部无手术疤痕的微创泪道疏通手术方法,简便、安全、易行,经济实用和临床效果肯定。适用于各种不同部位泪道阻塞,特别是泪囊鼻腔吻合术失败的病人再治疗,可重复操作,适应范围广,值得在临床上大力推广使用。
Objective: To evaluate the clinical effect of Y-shaped silicone tube retrograde insertion in the treatment of lacrimal duct obstruction. Methods: Ninety cases (102 eyes) of lacrimal duct obstruction patients were performed Y-shaped silicone tube retrograde surgery. Patients can be hospitalized or can be outpatient surgery. One year follow-up treatment of 20 eyes, the cure rate was 75.00%, the effective rate was 95.00%; 90 months follow-up treatment of 90 eyes, the cure rate was 79.30%, the effective rate 94.50%; three months follow-up 102 eyes, the cure rate was 91.50 %; Efficiency of 99.00%. CONCLUSION: Y-shaped silicone tube retrograde operation is a minimally invasive lacrimal passage operation without facial scars. It is simple, safe, easy to operate, economical and practical and clinical effect is affirmed. Applicable to a variety of parts of the lacrimal duct obstruction, especially dacron nasal anastomosis failure of patients re-treatment, repeatable, wide range of adaptation, it is worth to vigorously promote the use of the clinic.