急性泪囊炎不同排脓途径的疗效观察  

Clinical Observation on the Effect of Different Way of Draining off Pus in Acute Dacryocystitis

作　　者：杨俭伟[1] 肖丽[1] 史俊虎[1] 刘杉[1] 白萍[1] 

机构地区：[1]邢台市眼科医院眼七科,河北邢台054001

出　　处：《医学与哲学（B）》2013年第7期26-28,共3页Medicine & Philosophy(B)

摘　　要：由于急性泪囊炎的一期处理过程中经泪小管引流脓液与经皮肤切开排脓对治疗效果的影响不同,将我院2007年以来接诊的急性泪囊炎患者随机分为观察组与对照组:患者抗感染治疗后经泪小管引流脓液,成人行经鼻内镜泪囊开窗引流术,先天性泪囊炎患儿行泪道探通;对照组患者急性期经皮肤切开排脓、放置引流条和消炎处理后再行泪囊鼻腔吻合术。观察组患者治疗成功率98.46%,外观满意率98.25%;对照组患者治疗成功率89.11%,外观满意率54.35%。观察组患者较对照组患者疗程缩短约7天～10天。急性泪囊炎经全身抗感染治疗后行泪小管引流脓液能更有效地控制炎症,不给患者带来新的创伤,值得临床推广应用。As a result of the different effect of the ways by the lacrimal duct drainage and the skin incision on the treatment of acute dacryocystitis, since 2007 of my hospital admissions for acute dacryocystitis patients were randomly divided into observation group and control group： patients in observation group were treated with anti--infection and lacrimal eanaliculi aspirated pus, adult line of lacrimal sac fenestration, congenital dacryocystitis by nasal endoscopy probing of lacrimal pas-sage or children with operation treatment. The matched group patients in the acute period after skin incision and drainage, drainage and anti--inflammatory treatment after dacryocystorhinostomy. The cure rate was 98.46% and 98.25% appearance in the observation group;the cure rate was 89.11% and 54. 35% satisfaction appearance in control group. The pa- tients in the observation group shortened by about 7-10 days than those of matched group. We can effectively control acute dacryocystitis through the lacrimal drainage after anti--infection treatment, not giving patients a new trauma, which is worthy of clinical application.

关 键 词：急性泪囊炎 泪小管排脓 经皮肤切开排脓 

分 类 号：R777.23[医药卫生—眼科]