先天性鼻泪管阻塞治疗探讨  

Management of Congenital Nasolacrimal Duct Obstruction

作　　者：杨晨皓[1] 高路[1] 汪芳润[2] 

机构地区：[1]复旦大学附属儿科医院眼科,上海201102 [2]复旦大学附属金山医院,200540

出　　处：《中国实用眼科杂志》2008年第9期1000-1002,共3页Chinese Journal of Practical Ophthalmology

摘　　要：目的探讨先天性鼻泪管阻塞的不同治疗方法和治疗时机。方法回顾分析了735例837只眼在复旦大学附属儿科医院诊断为先天性鼻泪管阻塞的患儿，平均首诊年龄4．5月。根据首诊年龄和症状分别采用保守治疗、加压泪道冲洗法和泪道探通法，经随访3～16月，平均6．4月。以溢泪症状完全消失作为治愈指标。结果保守治疗的有效率为14．7％；加压泪道冲洗法的有效率为25．4％；泪道探通法的有效率为97．2％；15只眼未愈。早期探通（〈6月龄组）1次成功率为87．7％；后期探通（〉7月龄组）1次成功率为56．6％：结论泪道探通法治疗先天性鼻泪管阻塞安全有效，最佳干预时机为4-6月龄。Objective To evaluate different methods and timing in out patient treatment of congenital nasolacrimal duct obstruction（CNLDO）Methods In the retrospective study,735 infant （837eyes）who were diagnosed as CNLDO in Children＇s Hospital of Fudan University were involved, the mean age at first examination was 4.5 months.According to age and symptoms,patients were treated with conservative treatment, high-pressure irrigation or nasolacrimal duct probing.All patients were followed up at least 3-16 months.the mean time was 6.5 months. Clinical success was defined as complete resolution ofepiphora.Results The suc- cess rate of this three treatments was 14.7%.0,25.4%, 97.2% and 15 eyes were failure.And the success rate with one time probing in the early probing group was 87.7% （〈6 months）vs.56.6%in the late probing group （〉7 months）. Conclusion Nasolacrimal duct probing is a safe and effective method in CNLDO treatment.Also, our dates show that optimal intervention time is 4-6 months.

关 键 词：鼻泪管阻塞 泪道探通 先天性 

分 类 号：R777.22[医药卫生—眼科] R277.751.2[医药卫生—临床医学]