摘要
目的探讨应用泪道探通术治疗先天性泪囊突出的临床效果及时机选择。方法回顾分析2011年6月至2013年6月就诊于我院的18例(20眼)先天性泪囊突出病例,总结先天性泪囊突出的临床特点,通过泪囊区按摩、泪道冲洗、患眼局部应用抗生素眼水等保守方法治疗,保守治疗无效者行泪道探通术。结果 18例(20眼)先天性泪囊突出患儿,男性患儿10例(11眼),女性患儿8例(9眼),平均年龄10.6 d。保守方法治愈6眼30%;其余14眼中,经一次泪道探通术治愈的患眼为12眼60%;经二次泪道探通治愈的患眼为2眼10%。结论对保守治疗无效的先天性泪囊突出患儿行泪道探通术治疗效果明显,早期手术干预治疗可以在很大程度上预防严重感染等并发症发生。
Objective To explore the treatment and the timing choice of the treatment of congenital dacry- ocystocele through the analysis of clinical manifestations and characteristics. Methods From June 2011 to June 2013, 18cases（20eyes）of congenital dacryocystocele were treated in our hospital. First, conservative treatments such as dacryocyst massage, lacrimal duct flush and application of antibiotic eye drops were employed and if not effective, probing of lacrimal passage would be tried. The cases＇ clinical manifestations were recorded and ana- lyzed. Results The 18 cases （20eyes） average 10.6 days in age with 10 boys （11 eyes） and 8 girls（9 eyes）. 6 eyes, 30 % of the total, were cured by conservative treatments, 12 eyes, 60 % of the total, were cured by prob- ing of lacrimal passage once and 2 eyes by probing of lacrimal passage twice. Conclusion Probing of lacrimal passage is very effective for treatment ofcongenital dacryocystocele and early surgical treatment can significantly prevent serious infection and other complications.
出处
《内蒙古医学杂志》
2016年第5期541-543,共3页
Inner Mongolia Medical Journal
关键词
先天性泪囊突出
泪道探通
泪道冲洗
congenital dacryocystocele
probing of lacrimal passages
syphilis of lacrimal passages
