新生儿泪囊炎的临床治疗与研究  

Clinical treatment and study of neonatal dacryocystitis

作　　者：张晓萍[1] 王琛[1] 赵桂秋[1] 江蕊[1] 姜涛[1] 

机构地区：[1]青岛大学附属医院眼科,中国山东省青岛市266002

出　　处：《国际眼科杂志》2015年第3期562-564,共3页International Eye Science

摘　　要：目的：观察一次性泪道冲洗联合探通术在新生儿泪囊炎中的治疗效果。方法：回顾性分析2012-01/12于青岛大学附属医院眼科门诊就诊的224例256眼新生儿泪囊炎患者,分为1~3月龄组、4~6月龄组、7~9月龄组、10~12月龄组及〉12月龄组共5组,首次治疗即行一次性泪道冲洗加探通术,比较不同月龄组患者治疗效果。结果：患者256眼中,总治愈242眼（94.5%）,失败14眼（5.5%）,大于10月龄的患者鼻泪管阻塞明显增多,其治愈率明显降低;随着年龄增长治疗次数增加（Spearman等级相关分析,rs=0.746,P〈0.01）;Hasner瓣阻塞226眼,全部治愈;鼻泪管骨性部分阻塞30眼,治愈16眼（治愈率53.3%）;两个部位阻塞的治愈率有明显差别;无假道、感染病例。结论：一次性泪道冲洗联合泪道探通术治疗新生儿泪囊炎安全、效果好,1~9月龄是最佳治疗年龄;随着年龄增长,治愈率降低。AIM： To explore the treatment effect of initial lacrimal passage irrigation and probing in neonatal dacryocystitis.METHODS： In this retrospective case series study,224outpatients（ 256 eyes） with neonatal dacryocystitis were selected from January 2012 to December 2012 in our hospital. The patients were divided into 5 groups（ 1 ~3mo,4 ~ 60 mo,7 ~ 9mo,10 ~ 12 mo and〉 12mo）. Initial lacrimal passage irrigation and probing were operated,the therapeutic effect of different groups were compared.RESULTS： In this study,256 eyes of 224 cases,242 eyes（ 94. 5%） were cured and 14 eyes（ 5. 5%） were failed.Bony nasolacrimal duct obstruction happened more obviously in children aged more than 10 mo with lower cure rate. More probing was required with the children aged（ Spearman rank correlation analysis,γs =0. 746,P〈0. 01）. All of the 226 eyes with Hasner valve obstruction were cured. Bony nasolacrimal duct obstruction was 30 eyes,16 eyes were cured（ the cure rate was 53. 3%）. The cure rate of two parts of the obstruct had significant difference. There were no cases of infection and false passage.CONCLUSION： The treatment of primary lacrimal passage irrigation and probing in neonatal daryocystitisis effective and safe,the optimal timing of treatment is 1 ~9mo. With the growth of age,the cure rate is decreased.

关 键 词：泪囊炎 新生儿 泪道探通 泪道阻塞 

分 类 号：R777.23[医药卫生—眼科]