先天性鼻泪管阻塞的临床治疗  

Treatment for congenital nasolacrimal duct obstruction

作　　者：杨晨皓[1] 陈超[1] 高路[1] 汪芳润[1] 沈李[1] 

机构地区：[1]复旦大学附属儿科医院眼科,上海市201102

出　　处：《眼科新进展》2008年第12期943-945,共3页Recent Advances in Ophthalmology

摘　　要：目的探讨先天性鼻泪管阻塞的不同治疗方法和时机。方法回顾分析了735例837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个月。根据首诊年龄依次采用保守治疗、加压泪道冲洗和泪道探通法。随访3～16个月,平均6.4个月,以溢泪症状完全消失作为治愈指标。结果保守治疗法治疗837眼,治愈123眼,治愈率14.7;加压泪道冲洗法治疗714眼,治愈181眼,治愈率25.4;泪道探通法治疗533眼,治愈518眼,治愈率97.2.早期探通(≤6个月龄组)一次成功率为87.7;后期探通(>6个月龄组)一次成功率为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个月龄。Objective To evaluate different methods and time in treatment for congenital nasolacrimal duct obstruction.Methods A retrospective study was taken on 735 children（837 eyes） who were diagnosed with nasolacrimal duct obstruction in Children＇s Hospital of Fudan University,and the mean age at first examination was 4.5 months.According to the age at first examination,patients were treated with conservative treatment,high-pressure irrigation or probing of nasolacrimal duct in sequence.All patients were followed up at least for 3 to 16 months,and the mean time was 6.4 months.Curative index was defined as complete resolution of epiphora.Results With conservative treatment,123 eyes were recovered in all 837 eyes,rating 14.7%, 181 eyes were recovered in all 714 eyes with high-pressure irrigation,rating 25.4%, 518 eyes were recovered in all 533 eyes with probing of nasolacrimal duct,rating 97.2%, 15 eyes were failure.And the success rate with one time probing in the early probing group was 87.7%（≤6 months）,while 56.6% in the late probing group（〉6 months）.Conclusion Probing of nasolacrimal duct is a safe and effective method in congenital nasolacrimal duct obstruction treatment,and the optimal time for intervention is at 4 to 6 months.

关 键 词：鼻泪管阻塞 泪道探通 先天性 

分 类 号：R777.2[医药卫生—眼科]