ABSTRACT

Purpose

To compare the outcomes of canaliculotomy and curettage with and without silicone tube intubation in the treatment of primary canaliculitis.

Methods

A prospective, randomized, interventional case series was performed. Fifty patients diagnosed with unilateral inferior primary canaliculitis underwent canaliculotomy with curettage and were randomly divided into two groups depending on silicone tube intubation. Twenty-five patients were recruited in group A (without intubation) and 25 patients were recruited in group B (with intubation). The resolution of infection, the success rate and postoperative complications observed in both groups were analyzed with a minimum follow-up of 1 year.

Results

Forty-seven patients were finally included in the study consisting of 23 patients in group A and 24 patients in group B. There were 33 females and 14 males with a median age of 57 ± 13.9 years (range 29–89 years). All patients recorded complete resolution of canaliculitis and no recurrent infections were observed in the 2 groups during follow-up. A significantly higher number of anatomical and functional successes were achieved in patients in group B (100%, 87.5%) than in group A (78.3%, 60.9%) (P < .05,). The surgical complication of canalicular obstruction was significantly higher in patients in group A (21.7%, 5/23) compared to group B (0/24)(P < .05).

Conclusion

Canaliculotomy with curettage gives excellent clinical outcomes in the treatment of patients with primary canaliculitis and a higher success rate can be achieved when silicone tube intubation is performed during the procedure. The use of silicone tube intubation may be a necessary choice in canaliculotomy to avoid post-operative canalicular obstruction.

中文翻译：

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带和不带硅胶管插管的小管切开术治疗原发性小管炎的结果

摘要

目的

比较使用和不使用硅胶管插管的小管切开和刮除治疗原发性小管炎的结果。

方法

进行了一项前瞻性、随机、介入性病例系列研究。50 例诊断为单侧原发性下原发性小管炎的患者接受了小管切开刮除术，并根据硅胶管插管方式随机分为两组。A组（无插管）招募了25名患者，B组（有插管）招募了25名患者。至少随访 1 年，对两组观察到的感染消退、成功率和术后并发症进行分析。

结果

最终纳入了 47 名患者，其中 A 组 23 名患者和 B 组 24 名患者组成。有 33 名女性和 14 名男性，中位年龄为 57 ± 13.9 岁（范围 29-89 岁）。随访期间两组均记录小管炎完全消退，无复发感染。B 组患者的解剖学和功能成功率（100%，87.5%）明显高于 A 组（78.3%，60.9%）（P < .05）。A组患者小管阻塞的手术并发症（21.7%，5/23）明显高于B组（0/24）（P < .05）。

结论

刮宫小管切开术在治疗原发性小管炎患者方面具有出色的临床效果，并且在手术过程中进行硅胶管插管可以实现更高的成功率。使用硅胶管插管可能是小管切开术的必要选择，以避免术后小管阻塞。