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1、鼻;ae^sA术筋鼻網阻塞的2018-03-2910:29:58中国现代医生2018年6期龚余丹王颖君昊慧锋赵丹谢柳夷史飞飞李玉芸[摘要]目的探讨鼻泪管支架植入术治疗鼻泪管阻塞的临床疗效及安全性。方法选取2016年7月〜2017年5月期间我院120例单眼鼻泪管阴塞患者作为研究对象,采用随机数字表法将患者随机分为观察组和对照组,各60例。对照组鼻泪管阳•塞患者予泪道探通术治疗,观察组鼻泪管阻塞患者予鼻泪管支架植入术治疗,并分别对两组鼻泪管阻塞患者手术治疗情况、溢泪症状改善情况、临床治疗情况进行比较和分析。结果与对照组相比,观察组鼻泪管阻塞患者
2、的手術吋间(16.32±2.31)min,住院时间(5.48±0.65)d均明显缩短,差异均具有统计学意义(P<0.05)。观察组鼻泪管阻塞患者溢泪情况为0级的比率为48.33%(29/60),较对照组明显提高,差异具有统计学意义(P<0.05);溢泪情况为I级、II级、III级、IV级的比率均有不同程度降低,但差异均无统计学意义(P>0.05)o观察组鼻泪管阻塞患者的显效率为73.33%(44/60),总有效率为93.33%(56/60),均明显提髙:而无效率为6.67%(4/60),则明显降低,差异均具有统计学意义(P<0.05)。结论
3、鼻泪管支架植入术治疗鼻泪管阻塞的疗效显著、安全性高,值得临床推广。[关键词]鼻泪管支架植入;鼻泪管阻塞;泪道探通;溢泪[中图分类号]R77[文献标识码]B[文章编1673-9701(2018)06-0066-04[Abstract]ObjectiveToinvestigatetheclinicalefficacyandsafetyofnasolacrimalductstemtinginthetreatmentofnasolacrimalductobstruction・MethodsFromJuly2016toMay2017,120patie
4、ntswithmonocularnasolacrimalductobstructioninourhospitalwereselectedasthestudysubjects・Thepatientswererandomlydividedintoobservationgroupandcontrolgroupaccordingtotherandomnumbertable,with60casesineachgroup・Thecontrolgroupofpatientswithnasolacrimalductobstructionwasgiventh
5、eclinicaltreatmentoflacrimalductexploration.Theobservationgroupofpatientswithnasolacrimalductobstructionwasgivennasolacrimalductstentingforclinicaltreatment.Thesurgicaltreatment,theimprovementofsymptomsofspilledtears,andclinicaltreatmentwerecomparedandanalyzedbetweenthetwo
6、groupsofpatients・ResultsComparedwiththecontrolgroup,thesurgerytimeinthepatientswithnasolacrimalductobstructionintheobservationgroupwas(16.32±2.31)min,thelengthofhospitalstaywas(5.48±0.65)d,allsignificantlyshorter,thediffereneewassignificant(P<0.05);theratioofspilltearswith
7、grade0intheobservationgroupwas48.33%(29/60),whichwassignjficantlyincreasedcomparedwithcontrolgroup,thediffereneewasstatisticallysignificant(P<0.05):theratiosofspilledtearswithgradeI,gradeII,gradeIIIandgradeIVwerereducedtovaryingdegrees,thedifferenceswerenotstatisticallysig
8、nificant(P>0.05):thesignificantlyeffectiverateintheobservationgroupwas73.33%(44/60)andthe