코눈물관 부분 폐쇄에서 실리콘관 삽입술 전후의 눈물주머니조영술 비교
Comparison of Dacryocystographic Results Before and After Silicone Intubation in Incomplete Nasolacrimal Duct Obstruction
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목적: 코눈물관 부분 폐쇄에서 실리콘관삽입술 전후의 눈물주머니조영술 소견을 비교하고자 하였다. 대상과 방법: 코눈물관 부분 폐쇄로 진단받은 환자 17명 33안을 대상으로 실리콘관삽입술을 시행하였다. 수술 전과 수술 후 실리콘관 제거 후에 눈물주머니조영술을 시행하여 코눈물관의 전후좌우 폭과 길이를 측정하였다. 결과: 수술 후 증상이 호전된 환자의 수술 전 코눈물관의 평균 좌우 폭은 1.39 mm, 전후 폭은 2.32 mm, 길이는 17.14 mm였으며, 수술 후 평균 좌우 폭은 1.77 mm, 전후 폭은 2.40 mm, 길이는 17.38 mm이었다. 수술 후 증상이 호전되지 않은 환자의 수술 전 코눈물관의 평균 좌우 폭은 1.28 mm, 전후 폭은 2.06 mm, 길이는 17.42 mm였으며, 수술 후 평균 좌우 폭은 1.99 mm, 전후 폭은 2.75 mm, 길이는 18.03 mm였다. 수술 성공군과 수술 실패군의 코눈물관 크기 변화는 유의한 차이를 보이지 않았다. 결론: 코눈물관 부분 폐쇄에서 실리콘관삽입술 후 눈물주머니조영술 상의 코눈물관 크기 증가가 있었으나, 수술 성공 여부와 눈물주머 니조영술 상의 변화는 일치하지 않았다.
Abstract
Purpose: To compare the dacryocystographic results before and after silicone tube intubation in partial nasolacrimal duct obstruction. Methods: Dacryocystography was performed on 33 eyes of 17 patients diagnosed with partial nasolacrimal duct obstruction. The anteroposterior (AP) diameters and the mediolateral diameters of the nasolacrimal ducts intubated at the operation were measured by dacryocystography, before the operation and after silicone tube removal. Results: The mean AP, mediolateral diameter and length of nasolacrimal duct in the group who demonstrated improvement after the operation was 2.32 mm, 1.39 mm, and 17.14 mm before the operation, and 2.40 mm, 1.77 mm, and 17.38 mm after the operation, respectively. The mean AP, mediolateral diameter and length of nasolacrimal duct in the group who demonstrated no symptomatic improvement was 2.06 mm, 1.28 mm, and 17.42 mm before the operation, and 2.75 mm, 1.99 mm, and 18.03 mm after the operation, respectively. The alteration of the nasolacrimal duct size in the group with successful postoperative results compared with unsuccessful postoperative results showed no significant difference. Conclusions: The nasolacrimal duct showed expansion in size based on dacryocystographic results after silicone tube intubation in partial nasolacrimal duct obstruction. However, the operation results and the alteration of the nasolacrimal duct size based on dacryocystographic results demonstrated no accordance.
참고문헌 (23)
- Jones LT, "An anatomical approach to problems of the eyelids and lacrimal apparatus", Arch Ophthalmol, 66, pp.111~124 (1961)
- Kanski JJ, "Disorders of the lacrimal drainage system", pp.43~52 (1999), Clinical ophthalmology
- Jeffrey JH, "The lacrimal drainage system", Ophthalmology, 7, pp.71~78 (1999)
- Ewing AE, "Roentgen ray demonstration of the lacrimal abscess cavity", Am J Ophthalomol, 26, pp.1~4 (1909)
- Milder B, "the normal lacrimal apparatus", AMA Arch Ophthalmol, 51, pp.180~195 (1954)
- Nixon J, "The role of dacryocystography in the management of patient with epiphora", Br J Radiol, 63, pp.337~339 (1990)
- Hurwitz JJ, "The role of intubation macro dacryocystography in management of problems of the lacrimal system", Can J Ophthalmol, 10, pp.361~366 (1975)
- 엄정식, "누도의 불완전 폐쇄에서 실리콘관삽입술의 결과", 대한안과학회지, 45(11), pp.1~1 (2004), 대한안과학회
- Campbell W, "The radiology of the lacrimal system", Br J Radiol, 37, pp.1~26 (1964)
- 정혜욱, "눈물주머니조영술에서 정상을 보이는 눈물흘림 환자의 실리콘관 삽입술 결과", 대한안과학회지, 49(5), pp.706~712 (2008), 대한안과학회
- Kim DM, "Results with silicone stent in lacrimal drainage system", J Korean Ophthalmol Soc, 28, pp.733~735 (1987)
- Sohn HY, "Clinical observation on silicone intubation in obstruction of lacrimal drainage system", J Korean Ophthalmol Soc, 1, pp.135~140 (1990)
- Lee SH, "Silicone intubation for nasolacrimal duct obstruction in adult", J Korean Ophthalmol Soc, 8, pp.185~189 (1997)
- Lee HS, "Clinical results of silicone intubation for nasolacrimal duct obstruction in adult", J Korean Ophthalmol Soc, 38, pp.1926~1930 (1997)
- Kim HD, "Silicone tube intubation in acquired nasolacrimal duct obstruction", J Korean Ophthalmol Soc, 1, pp.327~331 (2000)
- Park HJ, "Clinical results of silicone intubation for epiphora patients", J Korean Ophthalmol Soc, 41, pp.2327~2331 (2000)
- Lee HS, "Classification of nasolacrimal duct obstruction according to dacryocystographic finding and its clinical significance", J Korean Ophthalmol Soc, 44, pp.1475~1482 (2003)
- 서신초, "코눈물관 부분 폐쇄에서 누낭조영술로 계측한 해부학적 구조와 실리콘관 삽입술 성공률의 상관관계", 대한안과학회지, 50(4), pp.491~496 (2009), 대한안과학회
- 이승욱, "눈물길 신티그라피의 양상에 따른 실리콘관 삽입술의 치료 효과 비교", 대한안과학회지, 47(6), pp.863~870 (2006), 대한안과학회
- Angrist RC, "Silicone intubation for partial and total nasolacrimal duct obstruction in adults", Ophthalmic Plast Reconstr Surg, 1, pp.51~54 (1985)
- Crawford JS, "Intubation of the lacrimal system", Ophthalmic Plast Reconstr Surg, 5, pp.261~265 (1989)
- Chung WS, "Functional obstruction of the lacrimal drainage system", J Korean Ophthalmol Soc, 36, pp.1435~1438 (1995)
- Ruby AJ, "Surface reaction on siliconetubes used in the treatment of nasolacrimal drainage system obstruction", Ophthalmic Surg, 22, pp.745~748 (1991)