鼻内窥镜下联合Nd：YAG激光治疗复发性泪囊炎

摘要

目的：探讨应用鼻内窥镜下联合Nd：YAG (钇铝石榴石晶体Neodymium-doped Yttrium Aluminium Garnet )激光治疗复发性泪囊炎的可行性,并探讨其临床意义。　　方法：患者48例在内窥镜下行泪道探通、Nd：YAG泪道激光、植入硬麻管道,于术后3~6 mo拔管,随访3~18 mo。　　结果：本组48例48眼患者,46眼溢泪症状消失,治愈46眼,有效2眼,治愈率为100%,均无并发症发生。　　结论：Nd：YAG激光联合泪道置管治疗复发性泪囊炎并发症少,操作简单,无瘢痕,不影响外观,值得在基层医院推广应用。%AIM:To evaluate the feasibility and significance of nasal endoscope combined with Neodymium-doped Yttrium Aluminium Garnet ( Nd:YAG ) laser in the treatment of recurrent dacryocystitis. METHODS: Forty-eight cases (48 eyes) with recurrent dacryocystitis were treated by nasal endoscope combined with Nd:YAG laser. The tubes were kept in place for 3-6mo after operation. The follow-up time was 3-18mo.RESULTS: Symptoms was completely resolved in 46 eyes and improved in 2 eyes, the cure rate was 100%. There were no other complications. CONCLUSION: Nasal endoscope combined with Nd:YAG laser provides an ideal therapeutic for recurrent dacryocystitis because of its many advantages such as a few complications, simple operation, no scars on face and so on and is fit for clinical application in primary hospitals.