눈물길 신티그라피의 양상에 따른 실리콘관 삽입술의 치료효과 비교
목적: 누도폐쇄 환자를 대상으로 눈물길 신티그라피를 시행하여 폐쇄부위에 따른 실리콘관 삽입술의 치료효능에 관하여 알아보고자 하였다. 대상과 방법: 52명 59안을 대상으로 눈물길 신티그라피를 시행하여 폐쇄부위에 따라 눈물주머니앞 폐쇄(1군), 눈물주머니내 폐쇄(2군), 코눈물관내 폐쇄(3군)로 분류하였다. 눈물길 더듬자 검사로 협착부위를 확인하고, 더듬자가 통과하지 못하거나 저항이 전혀없는 경우는 제외시켰다. Silicone sheet에 구멍을 2개 만든 후 상하누점을 통과한 양쪽의 실리콘관 끝을 각각 통과시키고 서로묶어 실리콘관을...
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| Veröffentlicht in: | Daihan angwa haghoi jabji 2006-06, Vol.47 (6), p.863-870 |
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| container_title | Daihan angwa haghoi jabji |
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| creator | 이승욱 Seung Uk Lee 김은희 Eun Hee Kim 이지은 Ji Eun Lee 이종수 Jong Soo Lee |
| description | 목적: 누도폐쇄 환자를 대상으로 눈물길 신티그라피를 시행하여 폐쇄부위에 따른 실리콘관 삽입술의 치료효능에 관하여 알아보고자 하였다. 대상과 방법: 52명 59안을 대상으로 눈물길 신티그라피를 시행하여 폐쇄부위에 따라 눈물주머니앞 폐쇄(1군), 눈물주머니내 폐쇄(2군), 코눈물관내 폐쇄(3군)로 분류하였다. 눈물길 더듬자 검사로 협착부위를 확인하고, 더듬자가 통과하지 못하거나 저항이 전혀없는 경우는 제외시켰다. Silicone sheet에 구멍을 2개 만든 후 상하누점을 통과한 양쪽의 실리콘관 끝을 각각 통과시키고 서로묶어 실리콘관을 고정하였다. 결과: 49안(83.1%)에서 유루증이 소실되었고, 1군 17안 중 16안(94.1%), 2군 23안 중 19안(82.6%), 3군 19안 중 14안(73.7%)에서 성공을 보였다. 눈물주머니앞 폐쇄에서 가장 좋은 성공률을 얻었고, 코눈물관내 폐쇄에서 성공률이 가장 낮았으나 통계적으로 유의한 차이는 없었다. 결론: 대상군의 확대와 장기관찰이 요구되지만, 누도폐쇄가 의심되는 유루증 환자에서 눈물길 신티그라피를 실시하여 눈물주머니앞 부위의 폐쇄가 있는 경우 특히 실리콘관 삽입술의 치료효능이 좋을 것으로 생각된다.
Purpose: To evaluate clinical outcome of silicone tube intubation in lacrimal passage obstruction according to the lacrimal passage obstruction patterns by dacryoscintigraphy. Methods: Fifty-nine eyes of 52 patients complaining of epiphora were divided into three groups pre-sac (group 1), intra-sac (group 2), and intra-ductal (group 3) types by dacryoscintigraphy. We confirmed the obstructive sites of lacrimal passage by probing with Bowman probe, and excluded all the cases of not passing lacrimal pathway or without the obstruction of lacrimal pathway. In the silicone intubation, a tie between both silicone tube was made at silicone silastic sheet instead of Mersilk. Results: The success was defined as maintaining the patent lacrimal passage with irrigation and disappearing of epiphora for at least 3 months. The success rate of the silicone intubation was 16 eyes of 17 eyes (94.1%) in group 1, 19 eyes of 23 eyes (82.6%) in group 2, and 14 eyes in 19 eyes (73.7%) in the group 3. The highest success rate of silicone intubation was pre-sac type and the lowest success rate was intra-ductal type by dacryoscintigraphy. There is no significant difference of success rate among three groups. Conclusions: Although it`s required the longer follow-up period and larger subjects to evaluate the efficacy of silicone tube intubation, it should be useful management of silicone tube intubation, especially at the cases of pre-sac obstruction by dacryoscintigraphy. J Korean Ophthalmol Soc 47(6):863-870, 2006 |
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| fullrecord | <record><control><sourceid>kiss_kyobo</sourceid><recordid>TN_cdi_kyobo_bookcenter_4010024337363</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><kiss_id>2544043</kiss_id><sourcerecordid>2544043</sourcerecordid><originalsourceid>FETCH-LOGICAL-k503-8027005363608b9ba14fddbabab1983f695cf139eed3a21036a91631612d13ec3</originalsourceid><addsrcrecordid>eNotzDtLw1AYxvEMCpbaT-CSxTHwvnlPTpJRijcouHRzCEmTQIkaaVy6eYVCHSoUDUKl4AWHDgUVU0i_UM7pdzBqeYZn-fFfUSpApqVxZuKaUkuStgeAyCzLxopyKHo9McmLLFNlf7zoT4vvTIzyxTCXo1SV93fy6kI-DFQxnIrXX_Mi3iZynhaf56q8nMunG9kb_9FZKp5vF4_vxUeuitl18TVYV1ZD9ygJasuvKs2d7WZ9T2sc7O7XtxpaZABpFugmgEGcOFie7bnIQt_33HJoWxRy22iFSHYQ-OTqCMRdGzkhR91HClpUVTb_s1E39mLHi-OoFZycBR2HAQLojMgs66XbWLp2kjinnfax2-k6usEYlOQHuA1ytg</addsrcrecordid><sourcetype>Publisher</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype></control><display><type>article</type><title>눈물길 신티그라피의 양상에 따른 실리콘관 삽입술의 치료효과 비교</title><source>KoreaMed Open Access</source><creator>이승욱 ; Seung Uk Lee ; 김은희 ; Eun Hee Kim ; 이지은 ; Ji Eun Lee ; 이종수 ; Jong Soo Lee</creator><creatorcontrib>이승욱 ; Seung Uk Lee ; 김은희 ; Eun Hee Kim ; 이지은 ; Ji Eun Lee ; 이종수 ; Jong Soo Lee</creatorcontrib><description>목적: 누도폐쇄 환자를 대상으로 눈물길 신티그라피를 시행하여 폐쇄부위에 따른 실리콘관 삽입술의 치료효능에 관하여 알아보고자 하였다. 대상과 방법: 52명 59안을 대상으로 눈물길 신티그라피를 시행하여 폐쇄부위에 따라 눈물주머니앞 폐쇄(1군), 눈물주머니내 폐쇄(2군), 코눈물관내 폐쇄(3군)로 분류하였다. 눈물길 더듬자 검사로 협착부위를 확인하고, 더듬자가 통과하지 못하거나 저항이 전혀없는 경우는 제외시켰다. Silicone sheet에 구멍을 2개 만든 후 상하누점을 통과한 양쪽의 실리콘관 끝을 각각 통과시키고 서로묶어 실리콘관을 고정하였다. 결과: 49안(83.1%)에서 유루증이 소실되었고, 1군 17안 중 16안(94.1%), 2군 23안 중 19안(82.6%), 3군 19안 중 14안(73.7%)에서 성공을 보였다. 눈물주머니앞 폐쇄에서 가장 좋은 성공률을 얻었고, 코눈물관내 폐쇄에서 성공률이 가장 낮았으나 통계적으로 유의한 차이는 없었다. 결론: 대상군의 확대와 장기관찰이 요구되지만, 누도폐쇄가 의심되는 유루증 환자에서 눈물길 신티그라피를 실시하여 눈물주머니앞 부위의 폐쇄가 있는 경우 특히 실리콘관 삽입술의 치료효능이 좋을 것으로 생각된다. <한안지 47(6):863-870, 2006>
Purpose: To evaluate clinical outcome of silicone tube intubation in lacrimal passage obstruction according to the lacrimal passage obstruction patterns by dacryoscintigraphy. Methods: Fifty-nine eyes of 52 patients complaining of epiphora were divided into three groups pre-sac (group 1), intra-sac (group 2), and intra-ductal (group 3) types by dacryoscintigraphy. We confirmed the obstructive sites of lacrimal passage by probing with Bowman probe, and excluded all the cases of not passing lacrimal pathway or without the obstruction of lacrimal pathway. In the silicone intubation, a tie between both silicone tube was made at silicone silastic sheet instead of Mersilk. Results: The success was defined as maintaining the patent lacrimal passage with irrigation and disappearing of epiphora for at least 3 months. The success rate of the silicone intubation was 16 eyes of 17 eyes (94.1%) in group 1, 19 eyes of 23 eyes (82.6%) in group 2, and 14 eyes in 19 eyes (73.7%) in the group 3. The highest success rate of silicone intubation was pre-sac type and the lowest success rate was intra-ductal type by dacryoscintigraphy. There is no significant difference of success rate among three groups. Conclusions: Although it`s required the longer follow-up period and larger subjects to evaluate the efficacy of silicone tube intubation, it should be useful management of silicone tube intubation, especially at the cases of pre-sac obstruction by dacryoscintigraphy. J Korean Ophthalmol Soc 47(6):863-870, 2006</description><identifier>ISSN: 0378-6471</identifier><language>kor</language><publisher>대한안과학회</publisher><subject>Dacryoscintigraphy ; Nasolacrimal duct obstruction ; Silicone tube intubation</subject><ispartof>Daihan angwa haghoi jabji, 2006-06, Vol.47 (6), p.863-870</ispartof><rights>COPYRIGHT(C) KYOBO BOOK CENTRE ALL RIGHTS RESERVED</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784</link.rule.ids></links><search><creatorcontrib>이승욱</creatorcontrib><creatorcontrib>Seung Uk Lee</creatorcontrib><creatorcontrib>김은희</creatorcontrib><creatorcontrib>Eun Hee Kim</creatorcontrib><creatorcontrib>이지은</creatorcontrib><creatorcontrib>Ji Eun Lee</creatorcontrib><creatorcontrib>이종수</creatorcontrib><creatorcontrib>Jong Soo Lee</creatorcontrib><title>눈물길 신티그라피의 양상에 따른 실리콘관 삽입술의 치료효과 비교</title><title>Daihan angwa haghoi jabji</title><addtitle>대한안과학회지</addtitle><description>목적: 누도폐쇄 환자를 대상으로 눈물길 신티그라피를 시행하여 폐쇄부위에 따른 실리콘관 삽입술의 치료효능에 관하여 알아보고자 하였다. 대상과 방법: 52명 59안을 대상으로 눈물길 신티그라피를 시행하여 폐쇄부위에 따라 눈물주머니앞 폐쇄(1군), 눈물주머니내 폐쇄(2군), 코눈물관내 폐쇄(3군)로 분류하였다. 눈물길 더듬자 검사로 협착부위를 확인하고, 더듬자가 통과하지 못하거나 저항이 전혀없는 경우는 제외시켰다. Silicone sheet에 구멍을 2개 만든 후 상하누점을 통과한 양쪽의 실리콘관 끝을 각각 통과시키고 서로묶어 실리콘관을 고정하였다. 결과: 49안(83.1%)에서 유루증이 소실되었고, 1군 17안 중 16안(94.1%), 2군 23안 중 19안(82.6%), 3군 19안 중 14안(73.7%)에서 성공을 보였다. 눈물주머니앞 폐쇄에서 가장 좋은 성공률을 얻었고, 코눈물관내 폐쇄에서 성공률이 가장 낮았으나 통계적으로 유의한 차이는 없었다. 결론: 대상군의 확대와 장기관찰이 요구되지만, 누도폐쇄가 의심되는 유루증 환자에서 눈물길 신티그라피를 실시하여 눈물주머니앞 부위의 폐쇄가 있는 경우 특히 실리콘관 삽입술의 치료효능이 좋을 것으로 생각된다. <한안지 47(6):863-870, 2006>
Purpose: To evaluate clinical outcome of silicone tube intubation in lacrimal passage obstruction according to the lacrimal passage obstruction patterns by dacryoscintigraphy. Methods: Fifty-nine eyes of 52 patients complaining of epiphora were divided into three groups pre-sac (group 1), intra-sac (group 2), and intra-ductal (group 3) types by dacryoscintigraphy. We confirmed the obstructive sites of lacrimal passage by probing with Bowman probe, and excluded all the cases of not passing lacrimal pathway or without the obstruction of lacrimal pathway. In the silicone intubation, a tie between both silicone tube was made at silicone silastic sheet instead of Mersilk. Results: The success was defined as maintaining the patent lacrimal passage with irrigation and disappearing of epiphora for at least 3 months. The success rate of the silicone intubation was 16 eyes of 17 eyes (94.1%) in group 1, 19 eyes of 23 eyes (82.6%) in group 2, and 14 eyes in 19 eyes (73.7%) in the group 3. The highest success rate of silicone intubation was pre-sac type and the lowest success rate was intra-ductal type by dacryoscintigraphy. There is no significant difference of success rate among three groups. Conclusions: Although it`s required the longer follow-up period and larger subjects to evaluate the efficacy of silicone tube intubation, it should be useful management of silicone tube intubation, especially at the cases of pre-sac obstruction by dacryoscintigraphy. J Korean Ophthalmol Soc 47(6):863-870, 2006</description><subject>Dacryoscintigraphy</subject><subject>Nasolacrimal duct obstruction</subject><subject>Silicone tube intubation</subject><issn>0378-6471</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><recordid>eNotzDtLw1AYxvEMCpbaT-CSxTHwvnlPTpJRijcouHRzCEmTQIkaaVy6eYVCHSoUDUKl4AWHDgUVU0i_UM7pdzBqeYZn-fFfUSpApqVxZuKaUkuStgeAyCzLxopyKHo9McmLLFNlf7zoT4vvTIzyxTCXo1SV93fy6kI-DFQxnIrXX_Mi3iZynhaf56q8nMunG9kb_9FZKp5vF4_vxUeuitl18TVYV1ZD9ygJasuvKs2d7WZ9T2sc7O7XtxpaZABpFugmgEGcOFie7bnIQt_33HJoWxRy22iFSHYQ-OTqCMRdGzkhR91HClpUVTb_s1E39mLHi-OoFZycBR2HAQLojMgs66XbWLp2kjinnfax2-k6usEYlOQHuA1ytg</recordid><startdate>20060630</startdate><enddate>20060630</enddate><creator>이승욱</creator><creator>Seung Uk Lee</creator><creator>김은희</creator><creator>Eun Hee Kim</creator><creator>이지은</creator><creator>Ji Eun Lee</creator><creator>이종수</creator><creator>Jong Soo Lee</creator><general>대한안과학회</general><scope>HZB</scope><scope>Q5X</scope><scope>P5Y</scope><scope>SSSTE</scope></search><sort><creationdate>20060630</creationdate><title>눈물길 신티그라피의 양상에 따른 실리콘관 삽입술의 치료효과 비교</title><author>이승욱 ; Seung Uk Lee ; 김은희 ; Eun Hee Kim ; 이지은 ; Ji Eun Lee ; 이종수 ; Jong Soo Lee</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-k503-8027005363608b9ba14fddbabab1983f695cf139eed3a21036a91631612d13ec3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>kor</language><creationdate>2006</creationdate><topic>Dacryoscintigraphy</topic><topic>Nasolacrimal duct obstruction</topic><topic>Silicone tube intubation</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>이승욱</creatorcontrib><creatorcontrib>Seung Uk Lee</creatorcontrib><creatorcontrib>김은희</creatorcontrib><creatorcontrib>Eun Hee Kim</creatorcontrib><creatorcontrib>이지은</creatorcontrib><creatorcontrib>Ji Eun Lee</creatorcontrib><creatorcontrib>이종수</creatorcontrib><creatorcontrib>Jong Soo Lee</creatorcontrib><collection>Korean Studies Information Service System (KISS)</collection><collection>Korean Studies Information Service System (KISS) B-Type</collection><collection>Kyobo Scholar Journals</collection><collection>Scholar(스콜라)</collection><jtitle>Daihan angwa haghoi jabji</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>이승욱</au><au>Seung Uk Lee</au><au>김은희</au><au>Eun Hee Kim</au><au>이지은</au><au>Ji Eun Lee</au><au>이종수</au><au>Jong Soo Lee</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>눈물길 신티그라피의 양상에 따른 실리콘관 삽입술의 치료효과 비교</atitle><jtitle>Daihan angwa haghoi jabji</jtitle><addtitle>대한안과학회지</addtitle><date>2006-06-30</date><risdate>2006</risdate><volume>47</volume><issue>6</issue><spage>863</spage><epage>870</epage><pages>863-870</pages><issn>0378-6471</issn><abstract>목적: 누도폐쇄 환자를 대상으로 눈물길 신티그라피를 시행하여 폐쇄부위에 따른 실리콘관 삽입술의 치료효능에 관하여 알아보고자 하였다. 대상과 방법: 52명 59안을 대상으로 눈물길 신티그라피를 시행하여 폐쇄부위에 따라 눈물주머니앞 폐쇄(1군), 눈물주머니내 폐쇄(2군), 코눈물관내 폐쇄(3군)로 분류하였다. 눈물길 더듬자 검사로 협착부위를 확인하고, 더듬자가 통과하지 못하거나 저항이 전혀없는 경우는 제외시켰다. Silicone sheet에 구멍을 2개 만든 후 상하누점을 통과한 양쪽의 실리콘관 끝을 각각 통과시키고 서로묶어 실리콘관을 고정하였다. 결과: 49안(83.1%)에서 유루증이 소실되었고, 1군 17안 중 16안(94.1%), 2군 23안 중 19안(82.6%), 3군 19안 중 14안(73.7%)에서 성공을 보였다. 눈물주머니앞 폐쇄에서 가장 좋은 성공률을 얻었고, 코눈물관내 폐쇄에서 성공률이 가장 낮았으나 통계적으로 유의한 차이는 없었다. 결론: 대상군의 확대와 장기관찰이 요구되지만, 누도폐쇄가 의심되는 유루증 환자에서 눈물길 신티그라피를 실시하여 눈물주머니앞 부위의 폐쇄가 있는 경우 특히 실리콘관 삽입술의 치료효능이 좋을 것으로 생각된다. <한안지 47(6):863-870, 2006>
Purpose: To evaluate clinical outcome of silicone tube intubation in lacrimal passage obstruction according to the lacrimal passage obstruction patterns by dacryoscintigraphy. Methods: Fifty-nine eyes of 52 patients complaining of epiphora were divided into three groups pre-sac (group 1), intra-sac (group 2), and intra-ductal (group 3) types by dacryoscintigraphy. We confirmed the obstructive sites of lacrimal passage by probing with Bowman probe, and excluded all the cases of not passing lacrimal pathway or without the obstruction of lacrimal pathway. In the silicone intubation, a tie between both silicone tube was made at silicone silastic sheet instead of Mersilk. Results: The success was defined as maintaining the patent lacrimal passage with irrigation and disappearing of epiphora for at least 3 months. The success rate of the silicone intubation was 16 eyes of 17 eyes (94.1%) in group 1, 19 eyes of 23 eyes (82.6%) in group 2, and 14 eyes in 19 eyes (73.7%) in the group 3. The highest success rate of silicone intubation was pre-sac type and the lowest success rate was intra-ductal type by dacryoscintigraphy. There is no significant difference of success rate among three groups. Conclusions: Although it`s required the longer follow-up period and larger subjects to evaluate the efficacy of silicone tube intubation, it should be useful management of silicone tube intubation, especially at the cases of pre-sac obstruction by dacryoscintigraphy. J Korean Ophthalmol Soc 47(6):863-870, 2006</abstract><pub>대한안과학회</pub><tpages>8</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0378-6471 |
| ispartof | Daihan angwa haghoi jabji, 2006-06, Vol.47 (6), p.863-870 |
| issn | 0378-6471 |
| language | kor |
| recordid | cdi_kyobo_bookcenter_4010024337363 |
| source | KoreaMed Open Access |
| subjects | Dacryoscintigraphy Nasolacrimal duct obstruction Silicone tube intubation |
| title | 눈물길 신티그라피의 양상에 따른 실리콘관 삽입술의 치료효과 비교 |
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