不同泪道冲洗液联合不同术式治疗婴幼儿泪囊炎的疗效对比  

Treatment of infant dacryocystitis with different lacrimal passage rinse solution combined with different surgical methods

作　　者：兰芳 

机构地区：[1]开封市儿童医院眼科,河南省开封市475000

出　　处：《眼科新进展》2015年第4期384-386,共3页Recent Advances in Ophthalmology

摘　　要：目的对比分析自上泪小点或下泪小点不同的手术进针方式进行泪道探通,及术中应用含激素性或非激素性眼液进行泪道冲洗对婴幼儿泪囊炎的疗效。方法选取我院婴幼儿泪囊炎患者771例(1064眼),按年龄分为3组:7 d^1岁组(632眼),>1~2岁组(268眼),>2~4岁组(164眼);按不同的手术进针方式分为2组:上泪小点组和下泪小点组;按不同泪道冲洗液分为2组:含激素性冲洗液和非含激素性冲洗液。观察各组疗效情况。结果 7 d^1岁组、>1~2岁组、>2~4岁组患儿治愈率分别为97.5%、85.4%和36.6%,各组间差异均有统计学意义(均为P<0.05)。7 d^1岁组上泪小点术式治愈率为99.1%,显著高于下泪小点术式的95.9%,差异有统计学意义(P=0.020);>1~2岁组上泪小点术式治愈率为92.5%,显著高于下泪小点术式的78.4%,差异有统计学意义(P=0.002);>2~4岁组使用含激素性泪道冲洗液治愈率为53.3%,显著高于使用非含非激素性泪道冲洗液的16.2%,差异有统计学意义(P=0.000)。结论婴幼儿泪囊炎随着患儿年龄的增长,泪道探通的治愈率逐渐降低;上泪小点术式泪道探通术更适合于≤2岁的婴幼儿泪囊炎患者;激素性泪道冲洗液更适合于>2~4岁的婴幼儿泪囊炎患者。Objective To determine the clinical effects and the incidence of postoperative complications of probing lacrimal passage with different surgical methods,i. e. via upper or lower lacrimal point,or combined with local application of hormone-containing or hormone-free eye drops in the treatment of infant dacryocystitis. Methods A total of 771 cases（ 1064 eyes） participated in this study. According to the age,the patients were divided into three groups： Group A included 632 patients with 7 days to 1 year old（ including 1 year）,group B included 268 patients with 1 years to 2 years old（ including 2 years）,and group C included 164 patients with 2years to 4 years old（ including 4 years）. According to the different treatment modality,the patients were divided into two groups： Group 1 received surgical treatment via the upper lacrimal point,group 2 via the lower lacrimal point. According to the different lacrimal passage rinse solution,the patients were divided into two groups： GroupⅠ used the hormone-containing eyedrops,and group Ⅱ used the hormone-free eye drops. The clinical effects were observed. Results The curative rates in group A,B and C were 97. 5%,85. 4%,36. 6%,respectively,there were significant differences among three groups（ all P〈0. 05）. The curative rates in group 1 and group 2 were 99. 1%,95. 9%,respectively,there was significant difference（ P = 0. 020）. The curative rate in group B via the upper-lacrimal point and the lower-lacrimal point were 92. 5%,78. 4%,respectively,there was significant difference（ P = 0. 002）. The curative rate in group C with hormone-containing and hormone-free eye drops were 53. 3%,16. 2%,respectively,there was significant difference（ P = 0. 000）. Conclusion The curative rate of lacrimal passage probing for infant dacryocystitis decreases gradually with the increased age,the lacrimal passage probing via the upper lacrimal point is more suitable for infant dacryocystitis with less than 2 years old,and hormone-containing eye drops is more s

关 键 词：激素性或非激素性眼液 上泪小点 下泪小点 泪道探通术 婴幼儿泪囊炎 

分 类 号：R777.23[医药卫生—眼科]