Ritleng泪道插管术治疗儿童结膜炎继发泪道阻塞60例临床疗效探讨  

Observation of the Clinical Effects of Ritleng Lacrimal Duct Intubation in the Treatment of 60 Children with Secondary Lacrimal Duct Obstruction Due to Conjunctivitis

作　　者：鹿麓[1] 

机构地区：[1]泰安市妇幼保健院眼科,山东泰安271000

出　　处：《中外医疗》2016年第9期1-3,共3页China & Foreign Medical Treatment

摘　　要：目的 分析及探索对儿童结膜炎继发泪道阻塞患儿采用Ritleng泪道插管术进行治疗的临床效果.方法 方便收集该院眼科2012年12月—2015年1月间接诊的由结膜炎引发的60例继发性泪道阻塞患儿进行临床研究,均行Ritleng泪道插管术进行治疗,术后3~6个月拔管,对两组患儿进行为期1个月的随访观察.通过泪道冲洗检查与泪道荧光染料排泄试验（DDT）对60例患儿治疗后的临床疗效进行评估分析.结果 该组60例患儿拔管后均获1个月的随访,通过泪道冲洗检查与DDT试验评估疗效,痊愈45眼,占71.43%,患儿拔管后临床症状显著缓解,泪道冲洗检查均为通常,DDT试验显示为阴性;好转7眼,占11.11%,患儿拔管后偶尔出现流泪症状,泪道冲洗检查稍有阻力,出现少量冲洗液返流情况;无效11眼,占17.46%,患儿拔管后泪道冲洗检查不够通畅,临床症状无明显变化或恶化,DDT试验显示为阳性.其中单纯性阻塞患眼的痊愈率显著高于复杂性阻塞,差异有统计学意义（P〈0.05）.结论 对儿童结膜炎继发泪道阻塞患儿采用Ritleng泪道插管术进行治疗具有良好的效果,值得临床进一步推广.Objective To analyze and investigate the clinical effects of Ritleng lacrimal duct intubation in the treatment of children with secondary lacrimal duct obstruction due to conjunctivitis. Methods 60 children with secondary lacrimal duct obstruction due to conjunctivitis admitted in Department of Ophthalmology of our hospital from December 2012 to January 2015 were selected for the clinical study. All the children were treated by Ritleng lacrimal duct intubation. Extubation was implemented 3~6 months after the surgery. 1-month follow-up was given to the patients. The clinical curative effect was e- valuated and analyzed through lacrimal passage irrigation examination and lacrimal duct fluorescent dye disappearance test （DDT）. Results All the 60 children were followed up for 1 month after extubation. Tile effect was evaluated through lacrimal passage irrigation examination and lacrimal duct DDT. 45 eyes were cured, accounting for 71.43%. The clinical symptoms of these children were significantly relieved after extubation with normal result of lacrimal passage irrigation examination and negative DDT test result. 7 eyes were improved, accounting for 11.11%. Streaming eyes occurred in these children occa- sionally after extubation; there was slight resistance and a small amount of flushing fluid reflux in lacrimal passage irrigation examination. The treatment was invalid in 11 eyes, accounting for 17.46%. The lacrimal passage irrigation examination in these children was not sufficiently unobstructed, the clinical symptoms did not change significantly or deteriorated with positive DDT test result. The cure rate of eyes with simple obstruction was higher than that of the eyes with complex ob- struction （P〈0.05）. Conclusion For children with secondary lacrimal duct obstruction due to conjunctivitis, Ritleng lacrimal duct intubation has good effect, which is worthy of further clinical promotion.

关 键 词：儿童 结膜炎 继发性泪道阻塞 Ritleng泪道插管术 临床疗效 

分 类 号：R4[医药卫生—临床医学]