摘要
目的探讨不同年龄的新生儿泪囊炎采用不同方法治疗的临床疗效。方法回顾性临床病例系列研究。分析2011年1月至2015年12月在眼科门诊治疗的1012例（1172只眼）新生JLN囊炎患者，按年龄分为〈2个月、3-6个月、7-12个月和13～28个月共四个组，根据患儿不同年龄采用不同的治疗方法：月龄〈2个月患儿予泪道按摩或联合泪道冲洗，3个月以上患儿冲洗泪道不通后行泪道探通术。随访1-12个月。结果月龄〈2个月226只眼，采用泪囊区按摩治愈12只眼，治愈率5．31％（12／226），泪道冲洗治愈16只眼，治愈率7．08％（16／226）；3-6个月龄753只眼，经泪道冲洗或}目道探通治愈738只眼，治愈率98．01％（738／753）；7-12月175只眼，经泪道冲洗或泪道探通治愈173只眼，治愈率98．86％（173／175）；13～28月18只眼，经泪道探通治愈12只眼，治愈率66．67％（12／18）。3～12个月龄患儿泪道探通术治愈率（96．66％）明显高于12个月以上月龄患儿（66．67％），两者疗效比较差异有统计学意义（r=3．528，P〈O．05）。结论2个月以内的患儿予泪囊区按摩或联合泪道冲洗等保守治疗，3个月以上的患儿采取泪道探通术是一项安全、有效的治疗方法，而3个月以上12个月以下行泪道探诵术效果最件．
Objective To analyze the timing and method of 1012 cases of neonatal dacryocysti- tis. Methods A total of 1012 cases （1172 eyes） of neonatal dacryocystitis patients were divided into four groups of 〈2 months, 3-6 months, 7-12 months, 13-28 months, and patients with different age were treated with different treatments, the treatment of lacrimal sac massage and flushing lacrimal passage for children below 2 months were taken. If flushing lacrimal passage for children above 3 months was to no avail, probing lacrimal passage was applied. The post operative follow-up periods were 1 month to 12 months. Results Among 226 eyes, 12 eyes of 〈2 months children were cured after massage lacrimal passage, the cure rate was 5.13%（12/226）,16 eyes of 〈2 months children were cured after flushing lacrimal passag, the cure rate was 7.08%（16/226）; Among 753 eyes, 738 eyes of 3-6 months children were cured after flushing lacrimal passage or probing of lacrimal pas- sage, the cure rate was 98.01%（738/753）; Among 175 eyes, 173 eyes of 7-12 months children were cured after flushing lacrimal passage or probing of lacrimal passage ,the cure rate was 98.86%（173/ 175）, Among 18 eyes, 12 eyes of 13-28 months children were cured atter probing of lacrimal pas- sage ,the cure rate was 66.67%（12/18）. The cure rate of children 3-12 months （96.66%） was higher than that of the 〉12 months （66.67%）. There was statistical significant difference between two groups （P 〈0.05）. Conclusions The treatment of lacrimal sac massage and flushing lacrimal passage for children 〈2 months are taken, probing lacrimal passage is applied for children 〉3 months, and it is a safe and effective method for treating neonatal dacryocystitis, and probing lacrimal passage is best for children 3-12 months.
作者
李雯霖
何爱群
林海波
陈慕丹
Li Wenlin He Aiqun Lin Haibo Chen Mudan. Department of Ophthalmology Shenzhen Longhua Central Hospital Affiliated to Guangdong Medical University Shenzhen 518110 China; Department of Ophthalmology Shenzhen Children＇s Hospital
出处
《中国实用眼科杂志》
2017年第1期62-64,共3页
Chinese Journal of Practical Ophthalmology
基金
广东省深圳市科技计划项目（No.Cxzz20140730164451016）
关键词
新生儿泪囊炎
泪道冲洗
泪道探通
Neonatal dacryocystitis
Flushing lacrimal passage
Probing of lacrimal passage
