溢泪

目的介绍溢泪症的自制内涵管置入治疗。

Objective To introduce the therapy of epiphora symptoms with self-produced internal tube .

自制内涵管介入治疗溢泪症38例分析

Analysis of endoluminal therapy for epiphora with self-produced internal tube on 38 patients

方法：36例（49侧）溢泪患者行CT泪道造影检查，分别选用300mgI/ml泛影葡胺、40%碘化油行CT横断面、冠状面扫描，观察CT对泪道、阻塞平面及周围结构的显示效果。

Methods : Thirty-six patients ( 49 lacrimal ducts ) underwent CT dacryocystography with angiografin ( 300mg I / ml ) or lipiodol ( 40 % ) by axial or coronal plane . Lacrimal ducts , location of obstruction and adjacent structure were showed by CT dacryocystography .

方法：回顾分析HRCT横断及冠状扫描25例鼻泪管骨折病人，其中21例为临床怀疑眶骨骨折病人，只有4例出现典型的临床表现：溢泪，伴有泪囊内积脓后才行CT检查。

Methods : HRCT axial and coronal reconstruction of nasolacrimal duct fractures . Scans were retrospectively analyzed in 25 cases , among them 21 cases were clinically consumed to be orbital wall fracture only 4 cases had typical clinical manifestations of epiphora , accompanied with lacrimal sac abscess .

结果79例患儿全部治愈，溢泪溢脓症状消失。

Results Epiphora and pyorrhea disappeared after operation in all cases .

结果：术后4周52眼中自觉溢泪改善达7692%；

Results : 76 92 % of eyes felt improvement of tearing .

伴有泪小管阻塞的溢泪患者的肉毒杆菌毒素姑息治疗1例

Botulinum toxin for palliative treatment of epiphora in a patient with canalicular obstruction

方法对18例经鼻外泪囊鼻腔吻合术后再次出现溢泪的病人，在鼻内镜下对吻合口进行检查，针对不同时期和具体情况进行相应治疗。

Methods 18 patients suffering from epiphora again after external dacryocystorhinotomy were examined and treated via nasal endoscope .

结论：提高泪小管断裂手术成功率，减少术后溢泪等症状，提高患者生活质量。

CONCLUSION : Raise the success ratio of operation and decrease the symptoms of dacryorrhea can improve the patients .

结论穿刺术是处理复合小梁切除术后包裹性囊状滤泡及结膜下房水积存导致的溢泪症的安全、有效的方法。

Conclusion Paracentisis is an effective and safe method of management of encapsulated filtering bleb and lacrimation after trabeculectomy .

结果观察6月至3年，全部患者术后无溢泪、溢脓，冲洗泪道通畅。

Results All operative eases had no effusive tears and no pyorrhea after followed up 0.6 ~ 3 years .

结果随访6~12个月，19例（21眼）患者术后未出现溢泪、溢脓，取得良好治疗效果。

Results The good curative effect was obtained after 6 ~ 12 months without post operative epiphora and pyorrhea .

结论：新型泪道探通引流装置治疗由泪道狭窄、阻塞及断裂所致的溢泪、流脓组织创伤小，具有较好的临床效果

Conclusion : The new lacrimal drainage device is effective in the treatment of chronic dacryocystitis and stenosis of nasolacrimal canal

对溢泪影响程度由重到轻依次为眼球下方鼻侧、中央、颞侧。

The position of conjunctivochalasis is inclined nose , center and inclined temple of lower eyeball in order to influence for epiphora from heavy to lightly .

经手术加强睑部眼轮匝肌张力后，泪囊泵功能恢复，溢泪消失。

The pumping function of lacrimal sac recovered and the tearing disappeared after second surgery that strengthened the tension of the pretarsal portion of the orbicularis oculi muscle .

方法利用数字减影泪道造影对41例正常人（82只眼）及179例溢泪患者（253只眼）进行检查，并对图像进行分析。

Methods 41 normal volunteers ( 82 eyes ) and 179 cases ( 253 eyes ) of epiphora were investigated with digital subtraction dacryocystography and images of lacrimal drainage system were studied .

外眼角、下眼睑及内眦处无明显变化，无眼睑外翻、溢泪、内外眦变形、术后复发、下睑凹陷等并发症。

External canthus of the eye , lower eyelid and the inner canthus are not significant changes , no ectropion , epiphora , internal and external canthal distortion , recurrence , complications such as lower eyelid introcession .

分别于疗程的第7、15、30天对病人随访，记录患者嘴脸歪斜、口角下垂、鼓气试验、语言状态、溢泪等疗效情况进行比较。

The patients were followed up at 7d , 15 d and 30 d in period of treatment separately . The features deflection , spat sink , drum gas test , talk state and spill tear of patients were noted and assessed .

该手术常见的并发症有失血过多、水肿和淤血、瘀斑、功能性鼻阻塞、术后外形不佳和不对称；泪囊装置的损伤导致溢泪，摇摆现象，阶梯现象。

Common complications of this operation are excessive bleeding , edema and congestion , ecchymosis , functional nasal obstruction , postoperative poor shape and asymmetry ; lacrimal sac device damage leading to overflow tears , " swing " phenomenon , " ladder " phenomenon .