节育环逆行植入泪囊术治疗慢性泪囊炎
摘要：目的：探索治疗泪道阻塞，慢性泪囊炎的新方法。方法：用节育环逆行植入泪囊后，用药液冲洗泪道2～4周，然后拔出节育环。用本方法治疗108例（117只眼），随访0.5～5年不等。结果：84只眼（71.8%）治愈，18只眼（15.4%）显效，12只眼（10.3%）有效，3只眼（2.5%）无效。无重要并发症。结论：本方法具有操作安全、简便、无痛苦、无并发症，效果好，费用低的优点，值得临床推广。
Treating Chronic Dacryocystitis with Implantiny Contraceptive device into Lacrimal Passage。
Abstract: Objective: To study the new method for the treatment of obstruction of lacrimal passage and chronic dacryocystitis. Method: Implanting contraceptive device into lacrimal passage and then rinsing it for 2～4 weeks with frug fluid and then withdraw the contraceptive device. 108 cases (117 eyes) were adopted the method, 0.5～5 years were followed up. Result: 84 eyes (71.8%) were cured. 18 eyes (15.4%) were better effective. 12 eyes (10.3%) were effective. no effect were 3 eyes. There‘s no complication. Conclusion: The method is safe, convienient, no pain, no complication, with good effect and cheaper. It‘s worth spreading.
Key words: Obstruction of lacrimal passage; Dacryocystitis; Implanting lacrimal passage。
探索免用切开颜面皮肤的“吻合术”，再通生理泪道以治疗泪道阻塞、慢性泪囊炎等泪道疾病的新方法。
1 资料与方法。
1.1 临床资料：2000年1月至2006年4月，笔者用节育逆行植入泪囊术治疗因鼻泪管阻塞所致的慢性泪囊炎108例（117只眼），其中右60只眼，左57只眼；年龄17～82岁；女63例，男45例；病程1～9年，术后随访0.5～5年。
1.2 器械设计与准备：用长70mm、外径0.9mm、内径0.5mm的9号腰穿针改制成探针1支，将其针尖磨成钝圆状，使针芯稍长于探针。选用直径1.0～2.0mm粗细不等的节育环。细铜丝1条（家用电线内的细铜丝，其直径0.2mm，长300mm，从中间返折成双股）。其他常用的器械包括剪刀、窥鼻器、10号黑丝线和鼻镊子等。还需准备窥镜、注射器、金霉素眼膏、1%地卡因和1%麻黄素滴鼻液等。
1.3 术前准备：手术前3d，术眼滴0.25%氯霉素眼水，1次/4h，并每日用生理盐水5ml+庆大霉素8万u+地塞米松5mg溶液冲洗泪道1次，用0.25%氯霉素眼水加于1%麻黄素液滴鼻，每日4～6次。