泪道激光联合引流管植入对泪道阻塞患者眼表影响.pdf

泪道激光联合引流管植入对泪道阻塞患者眼表的影响???????????????????????????????????????????中文摘要? 泪道激光联合引流管植入对泪道阻塞患者眼表的影响 中文摘要 目的 研究泪道激光联合引流管植入对泪道阻塞患者眼表状态的影 响 方法 对 30 名被诊断为泪道阻塞的患者行泪道激光联合泪道引流管 植入，于治疗前及术后 1 月及拔管后分别进行眼表评估。检查包括：干 眼症状问卷调查，泪膜破裂时间，基础泪液分泌试验，泪液羊齿状结晶， 角膜荧光素染色，丽丝胺绿染色、结膜印迹细胞学检查。 结果 1）问卷调查提示患者行泪道激光联合引流管植入术后流泪症 状明显改善；2）患者经过泪道激光联合引流管植入后一月眼表出现泪液 分泌量增加，但拔管后泪液分泌量较治疗前减少。患者治疗前、术后一 月、拔管后泪膜破裂时间无明显缩短，结膜杯状细胞未见明显减少，角 膜荧光素钠染色与结膜丽丝胺绿染色评分无明显改变，泪液羊齿状结晶 评级无明显改变；3）患者置管前后不同性别、年龄分组均无明显差异。 结论 泪道激光联合引流管植入对泪道阻塞患者眼表无明显影响，该 治疗方法能改善患者流泪症状，提高患者生活质量。 关键词 泪道阻塞 泪道激光 眼表 结膜杯状细胞 作 者：钱 欣 指导老师：张晓峰 I 英文摘要???????????????????????????????????????????泪道激光联合引流管植入对泪道阻塞患者眼表的影响?? Influence to the lacrimal duct obstruction patient’s ocular surface before and after transcanalicular laser and silicone lacrimal drainage tube implant Abstract Objective To study the influences to the ocular surface of patients with lacrimal duct obstruction before and after tanscanalicular laser and silicone lacrimal drainage tube implant. Methods Thirty patients who diagnosed of lacrimal duct obstruction underwent tanscanalicular laser and silicone lacrimal drainage tube implantation.The status of their ocular surface was evaluated in an observational case series,with the help of dry eye questionnaire （ DEQ ） ,breakup time （ BUT ） , Schirmer I test(SIt),fluorescein staining(FL),tear ferning test(TFT),lissamine green staining(LG), impression cytology of conjunctiva(IC)，in pre-operative、one mongth after surgery and extubation. Results Epiphora was relieved apparently after the surgery in patients.SIt was increased one month after the surgery,but it was decreased after extuba