国际眼科纵览 ›› 2023, Vol. 47 ›› Issue (4): 367-372.doi: 10.3760/ cma.j.issn.1673-5803.2023.04.014

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泪道置管术中支架材料的应用研究

徐恩沛 李光辉   

  1. 江苏省启东市人民医院眼科中心, 南通 226200
  • 收稿日期:2022-11-01 出版日期:2023-08-22 发布日期:2023-08-29
  • 通讯作者: 李光辉,Email:lgh38@sina.com

Application of stent materials for lacrimal duct intubation surgery

Xu Enpei, Li Guanghui   

  1. Jiangsu Qidong People's Hospital Eye Center, Nantong 226200,China
  • Received:2022-11-01 Online:2023-08-22 Published:2023-08-29
  • Contact: Li Guanghui, Email: lgh38@sina.com

摘要: 【摘要】随着各种改良人工泪管和移植组织来源的不断更新,临床上对泪道阻塞类疾病的治疗取得较好效果,但术后瘢痕性阻塞或炎性反应等并发症仍不能完全解决。随着分子生物学和组织工程技术的发展,新的支架材料不断研发,为泪道阻塞类疾病的治疗提供了广阔前景。硅胶类材料相较于聚丙烯和聚合物材料,在组织相容性方面仍有待改善,新型可降解材料的开发预示了泪道置管材料新的研究方向。另外,自体材料与异体材料的结合,也为不需内支撑的泪道旁路重建手术提供新的发展方向。 (国际眼科纵览,2023, 47:367-372)

关键词: 泪道阻塞, 支架材料

Abstract: With the continuous advancement in artificial lacrimal duct improvements and tissue transplantation, significant progress has been made in the clinical treatment of lacrimal duct obstruction. However, complications such as postoperative scar obstruction or inflammatory reactions have not been completely resolved. Previous studies mainly focused on optimizing artificial lacrimal duct improvements, but it is currently difficult to achieve better clinical outcomes through surgical modifications. With the development of molecular biology and tissue engineering techniques, new scaffold materials are continuously being developed, providing a broad prospect for the treatment of lacrimal duct obstruction. Silicone-based materials, widely used in clinical tear duct intubation, still need improvement in terms of tissue compatibility compared to polypropylene and polymer materials. The development of new biodegradable materials indicates a new research direction for tear duct intubation materials. In addition, the combination of autologous and allogeneic materials provides a new developmental direction for tear duct bypass reconstruction surgery without the need for internal support.(Int Rev Ophthalmol, 2023, 47: 367-372)

Key words: lacrimal duct obstruction, support materials