泪道探通联合硬膜外麻醉导管置入术治疗新生儿泪囊炎  

Lacrimal passage combined with segmental epidural catheter insertion for neonatorum dacryocystitis

作　　者：庄建福[1] 潘美华[1] 任小军[1] 邱芳芳[1] 

机构地区：[1]厦门大学附属厦门眼科中心,中国福建省厦门市361001

出　　处：《国际眼科杂志》2009年第3期602-603,共2页International Eye Science

摘　　要：目的:观察应用泪道探通联合硬膜外麻醉导管置入术治疗新生儿泪囊炎的临床效果。方法:对32例(33眼)经反复泪道冲洗无效的新生儿泪囊炎应用泪道探通联合硬膜外麻醉导管置入术,术后麻醉导管保留3d后拔除,拔管后泪道冲洗1次/d,连续3d,并点托百士眼液4次/d,连续1wk。随访6～12mo。结果:选取的33眼中,32眼治愈,1眼探通时阻力较大,未能探通。治愈率达97%。32眼随访6～12mo,无1眼复发。结论:泪道探通联合硬膜外麻醉导管置入术是治疗难治性新生儿泪囊炎的有效方法,值得临床推广应用。AIM. To assess the results of probing of lacrimal passage combined with segmental epidural catheter insertion for the treatment of neonatorum dacryocystitis. METHODS. After repeatedly washing lacrimal invalid, 32 cases（33eyes） were uses lacrimal passage combined with segmental epidural catheter insertion. Postoperative anesthesia catheter was removed after 3 days. Lacrimal wash once per day after extubation, for 3 days. Hundred persons entrusted eyedrops four times per day, for 1 week. Follow-up 6-12 months. RESULTS：Probing of lacrimal passage combined with segmental epidural catheter insertion achieved successful results in 32 eyes （97%） ,1 eye could not be probed, after 6-12 months follow-up, no recur . CONCLUSION： Probing of lacrimal passage combined with segmental epidural catheter insertion was very effective in the treatment of neonatorum dacryocystitis at all ages.

关 键 词：新生儿 泪囊炎 治疗 

分 类 号：R777.1[医药卫生—眼科]