2769例先天性泪道阻塞的临床分析  

The clinical analysis of2769 congenital nasolacrimal duct obstruction

作　　者：陈婷[1] 张浩[1] 杨素红[1] 康媚霞[1] 王丹[1] 刘丹彦[1] 宫月秋[1] 

机构地区：[1]首都儿科研究所附属儿童医院眼科,100020

出　　处：《中国斜视与小儿眼科杂志》2012年第4期157-160,共4页Chinese Journal of Strabismus & Pediatric Ophthalmology

摘　　要：目的探讨治疗先天性泪道阻塞的有效措施及临床特点。方法收集先天性泪道阻塞的患儿2769例,采用局部按摩、加压冲洗保守方法治疗,治疗无效或家长要求手术者行泪道探通术,观察各治疗方法的治愈率。结果经按摩、冲洗或探通共治愈3498只眼,总治愈率达98.48%,其中保守治疗治愈率达32.92%,探通手术的治愈率可达97.77%。结论先天性鼻泪管阻塞的患儿,早期进行保守治疗十分必要,可大大提高自愈率,而泪道探通术是简单易行、治愈率高的方法。Objective To explore the effective measures and clinical characteristics of congenital nasolacrimal duct obstruction. Methods 2769 infants with congenital nasolacrimal duct obstruction was treated by partial massage pressed irrigation^probing of nasolacrimal duct if conservative treatment was invalid or parent damanded to perform operation. Then obersevations were performed on the cure rate. Results 3498 eyes was cured by massage^pressed irrigation or probing, the total cure rate was 98.48%, and the cure rate of conservative treatment was 32. 92%, the cure rate of nasolacrimal duct probing was 97. 77%. Conclusions Conservative treatment in early stages is very necessary to infants with congenital nasolacrimal duct obstruction, it can increase self healing rate greatly. Then nasolacrimal duct probing is an simple method , and its cure rate is high.

关 键 词：先天性泪道阻塞 保守治疗 泪道探通术 

分 类 号：R777.2[医药卫生—眼科]