AIM: To ameliorate the techniques and instruments forlacrimal duct obstruction in order to learn easily and achieve better surgical effects. METHODS: Group A: 90 eyes with lacrimal duct obstruction were treated with the ameliorated annular silicone stent intubation; Group B: 80 eyes were treated with the classical annular stent intubation.Follow up in 2 years after operation, comparing the rate of cure and efficiency between the two groups. RESULTS:After a two-year follow-up, in group A, 80 (89%) eyes were cured, 7 eyes (7.8%) turned better and 3 eyes failed to respond, the total effective rate was 97%;in group B, 60 ( 75%) eyes were cured, 9 ( 11%) turned better and 11 failed to respond, the total effective rate was 86%.Differences in cure rate (χ2=5.62, P<0.05) and total effective rate (χ2=4.78, P<0.05) between two groups had statistical significance. CONCLUSION: The ameliorated means is simple and effective in treatment oflacrimal canaliculi occlusion, it is worth of spreading.%目的:对泪道环形硅胶支架植入的手术方法和器械进行了改进,使手术过程简单易学,治疗效果良好。 方法:A组:泪道阻塞90眼,用Nd:YAG激光疏通泪道后,采用改良的环形硅胶支架植入术治疗;B组:泪道阻塞80眼,用Nd:YAG激光疏通泪道后,采用经典的环形硅胶支架植入术治疗。术后均随访2a,比较两组的治愈率及有效率。 结果:随访2a,A组治愈80眼,治愈率为89%,好转7眼,好转率为8%,总有效率为97%,无效3眼;B组治愈60眼,治愈率为75%,好转9眼,好转率为11%,总有效率为86%,无效11眼。两组治愈率之间比较,差异有统计学意义(χ2=5.62,P<0.05);两组总有效率比较,差异有统计学意义(χ2=4.78,P<0.05)。 结论:改进的硅胶支架植入方法治疗泪道阻塞效果更佳,值得推广。
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