|
|
泪道阻塞治疗研究进展
|
Abstract:
泪道阻塞是眼科门诊常见疾病，分为成人泪道阻塞及儿童先天性鼻泪管阻塞。除了泪膜异常和眼睑畸形外，各种原因引起的泪道阻塞是眼科实践中成人溢泪最常见的原因。先天性鼻泪管阻塞是儿童溢泪的常见病因之一，其症状发生率在1%~30%之间。泪道阻塞的典型症状包括眼睛流泪、睫毛结痂和粘液脓性分泌物。近年来，多种微创治疗手段应用于泪道阻塞疾病的治疗，极大改善了患者生活质量，本文对泪道阻塞治疗进展进行描述。
Lacrimal duct obstruction is a common disease in ophthalmology clinic, which is divided into adult lacrimal duct obstruction and children congenital nasolacrimal duct obstruction. In addition to ab-normal tear film and eyelid deformity, obstruction of lacrimal passage due to various causes is the most common cause of adult lacrimal discharge in ophthalmic practice. Congenital nasolacrimal duct obstruction (CNLDO) is one of the common causes of children with lacriphorrhea, with the in-cidence of symptoms ranging from 1% to 30%. Typical symptoms of lacrimal duct obstruction in-clude watery eyes, crusted eyelashes, and mucopurulent discharge. In recent years, a variety of minimally invasive treatment methods have been applied to the treatment of lacrimal duct ob-struction, which has greatly improved patients’ quality of life. This article describes the progress in the treatment of lacrimal duct obstruction.
| [1] | Mihailovic, N., Grenzebach, U.H., Eter, N., et al. (2021) Application Possibilities of a New Preloaded Nasolacrimal Duct Intubation System. Klinische Monatsbl？tter für Augenheilkunde, 238, 48-54. https://doi.org/10.1055/a-1274-0773 |
| [2] | Badakere, A., Veeravalli, T.N., Iram, S., et al. (2018) Unilateral Congen-ital Nasolacrimal Duct Obstruction and Amblyopia Risk Factors. Clinical Ophthalmology, 12, 1255-1257. https://doi.org/10.2147/OPTH.S171029 |
| [3] | Karti, O., Karahan, E., Acan, D., et al. (2016) The Natural Process of Congenital Nasolacrimal Duct Obstruction and Effect of Lacrimal Sac Massage. International Ophthalmology, 36, 845-849.
https://doi.org/10.1007/s10792-016-0208-5 |
| [4] | Becker, B.B. and Berry, F.D. (1991) Balloon Catheter Dilatation in Pediatric Patients. Ophthalmic Surgery, 22, 750-752. https://doi.org/10.3928/1542-8877-19911201-14 |
| [5] | Gazit, I., Pras, E., Or, L., et al. (2021) Balloon Catheter Dila-tion as the Primary Treatment of Congenital Nasolacrimal Duct Obstruction. European Journal of Ophthalmology, 31, 334-339. https://doi.org/10.1177/1120672119895906 |
| [6] | 何小英. 泪道探通术对小儿先天性泪道阻塞的疗效探讨[J]. 现代诊断与治疗, 2021, 32(22): 3623-3625. |
| [7] | 俞佳伟, 邢悦, 王晓辉, 等. 116例新生儿泪囊炎应用泪道探通术治疗疗效分析[J]. 哈尔滨医药, 2022, 42(6): 72-73. |
| [8] | 岑超, 何俐莹, 陶雪莹, 等. 泪道冲洗和泪道探通治疗3558例先天性泪道阻塞的时机及方法探讨[J]. 第三军医大学学报, 2021, 43(23): 2590-2595. |
| [9] | 赵文锋, 蒋萍, 黄月玲. 典必殊眼膏在鼻内镜下泪囊鼻腔造瘘术的疗效观察[J]. 深圳中西医结合杂志, 2015, 25(12): 162-163. |
| [10] | 汪锐. 泪道探通联合妥布霉素地塞米松填充治疗泪道阻塞[J]. 国际眼科杂志, 2019, 19(3): 499-502. |
| [11] | 唐晓玲. 妥布霉素地塞米松眼膏配合泪道探通术治疗泪道阻塞的临床效果[J]. 河南医学研究, 2020, 29(23): 4278-4280. |
| [12] | 蔡福旭, 陈敏, 蔡利梅, 等. 泪道探通术治疗小儿先天性泪道阻塞的临床效果[J]. 中国当代医药, 2019, 26(13): 165-167. |
| [13] | 周玉. 氧氟沙星眼膏在顽固性泪道堵塞中的应用[J]. 医学信息(上旬刊), 2011, 24(6): 3831-3832. |
| [14] | 刘太平, 梁卫丰. 泪道探通术后注入氧氟沙星眼膏治疗鼻泪管阻塞[J]. 中国煤炭工业医学杂志, 2011, 14(7): 1009-1010. |
| [15] | Ozsutcu, M., Balci, O., Tanriverdi, C., et al. (2017) Efficacy of Ad-junctive Mitomycin C in Transcanalicular Diode Laser Dacryocystorhinostomy. European Archives of Oto-Rhino-Laryngology, 274, 873-877.
https://doi.org/10.1007/s00405-016-4308-7 |
| [16] | 刘庆, 梁伟, 罗彦婷. 氧氟沙星眼膏联合丝裂霉素在泪道探通术中的应用[J]. 吉林医学, 2014, 35(2): 274-275. |
| [17] | Ullrich, K., Malhotra, R. and Patel, B.C. (2022) Dacryocysto-rhinostomy. StatPearls Publishing, Treasure Island. |
| [18] | 常玉荣, 邓文庆, 赵景华, 等. 鼻内镜与外路鼻腔泪囊吻合术治疗慢性泪囊炎的疗效对比[J]. 吉林医学, 2021, 42(10): 2376-2379. |
| [19] | 崔凤斌. 不同方式鼻腔泪囊吻合术在慢性泪囊炎治疗中的效果比较[J]. 实用中西医结合临床, 2019, 19(10): 56-57. |
| [20] | 李君, 王皓璇. 改良小切口外路泪囊鼻腔吻合术治疗慢性泪囊炎[J]. 实用临床医学, 2018, 19(9): 70-71. |
| [21] | Alicandri-Ciufelli, M., Russo, P., Aggazzotti, C.E., et al. (2022) Endoscopic “Retrograde” Dacryocystorhinostomy: A Fast Route to the Lacrimal Sac. Eu-ropean Annals of Otorhinolaryngology, Head and Neck Diseases, 140, 85-88.
https://doi.org/10.1016/j.anorl.2022.08.004 |
| [22] | Huang, S.E., Zhang, Q. and Wang, M. (2022) Endoscopic Dacry-ocystorhinostomy. Chinese Journal of Otorhinolaryngology Head and Neck Surgery, 57, 1028-1032. |
| [23] | 张旻, 宋道亮, 韩学锋, 等. 改良鼻内镜下与改良鼻外径路鼻腔泪囊吻合术临床对比研究[J]. 中国临床解剖学杂志, 2021, 39(2): 220-223. |
| [24] | 易敬林, 白永泉, 熊考燕. KTP激光与Nd:YAG激光对兔泪道损伤程度的比较[J]. 中国激光医学杂志, 2003(1): 13-15. |
| [25] | 刘嫣, 陆琳娜, 毕晓萍, 等. 倍频Nd:YAG激光治疗泪道阻塞的疗效分析[J]. 临床眼科杂志, 2016, 24(2): 159-161. |
| [26] | 马芮, 刘耀然, 赵继志. 激光治疗口腔黏膜白斑研究进展[J]. 中国实用口腔科杂志, 2018, 11(9): 564-568. |
| [27] | Lemaitre, S., Sarandeses-Diez, T. and Gonzalez-Candial, M. (2021) Anatomical and Functional Outcomes of Transcanalicular Diode Laser Assisted Dacryocystorhinostomy as a Primary Procedure. Journal Fran？ais d’Ophtalmologie, 44, 404-408. https://doi.org/10.1016/j.jfo.2020.05.028 |
| [28] | 儿童扁桃体腺样体低温等离子射频消融术规范化治疗临床实践指南[J]. 临床耳鼻咽喉头颈外科杂志, 2021, 35(3): 193-199. |
| [29] | 瞿群威, 沈玉杰. 低温等离子靶点消融术联合臭氧治疗腰椎间盘突出症的临床研究[J]. 中国疼痛医学杂志, 2017, 23(2): 144-147. |
| [30] | Li, H., Li, Y., Guo, Z., et al. (2018) Low-Temperature Plasma Radiofrequency Ablation in Phan-tom Limb Pain: A Case Report. Brain Circulation, 4, 62-64. https://doi.org/10.4103/bc.bc_7_17 |
| [31] | Li, Y., Guo, Y., Yang, L., et al. (2019) Comparison of the Short-Term Outcomes after Low-Temperature Plasma Radiofrequency Ablation (Coblation) in the Gasserian Ganglion for the Treatment of Idiopathic Trigeminal Neuralgia. Journal of Pain Research, 12, 1235-1242. https://doi.org/10.2147/JPR.S199504 |
| [32] | Qin, Q., Li, B., Ming, J., et al. (2020) Clinical Efficacy Comparison of Low-Temperature Plasma Radiofrequency Ablation and Nd:YAG Laser in Treating Recurrent Acquired Nasolacrimal Duct Obstruction. Lasers in Medical Science, 35, 1937-1944. https://doi.org/10.1007/s10103-020-02982-8 |
| [33] | Choi, S.C., Choi, H.S., Jang, J.W., et al. (2017) Comparison of the Efficacies of 0.94 mm and Double Silicone Tubes for Treatment of Canalicular Obstruction. Korean Journal of Oph-thalmology, 31, 1-8.
https://doi.org/10.3341/kjo.2017.31.1.1 |
| [34] | 王超庆, 李琦, 史沛艳, 等. 泪点成形联合泪小管阻芯置入术治疗泪点狭窄的临床观察[J]. 国际眼科杂志, 2020, 20(12): 2192-2195. |
| [35] | 王琳, 陈琳琳. RS型泪道引流管治疗泪道阻塞的临床疗效及安全性分析[J]. 中国实用医药, 2021, 16(4): 107-109. |
| [36] | 赵娜娜, 秦书艳. 新型逆行泪道置管术治疗泪道阻塞性疾病临床治疗效果及经验分析[J]. 系统医学, 2018, 3(23): 1-3. |
