亚甲蓝标记切除术治疗儿童先天性泪道瘘管  

The resection with methylene blue notation for the treatment of children congenital lacrimal duct fistula

作　　者：郝尚臣[1] 朱丽娟[1] 徐东[1] 张婧[1] 朱豫[1] Hao Shangchen Zhu Lijiuan Xu Dong Zhang Jing Zhu Yu(Department of Ophthalmology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, Chin)

机构地区：[1]郑州大学第一附属医院眼科,郑州450052

出　　处：《中华眼外伤职业眼病杂志》2017年第2期111-113,共3页Chinese Journal of Ocular Trauma and Occupational Eye Disease

摘　　要：目的探讨儿童先天性泪道瘘管的治疗方法。方法我院2013年2月至2015年1月诊治儿童先天性泪道瘘管16例（16眼）。男9例，女7例。年龄2个月-7岁，平均（3．0±0．6）岁。眼别：右眼6例，左眼10例。瘘口距离内眦≤5mm者13例，〉5mm者3例。泪道冲洗和造影证明瘘管连接泪囊者12例，连接泪总管者3例，连接下泪小管者1例。所有患者均行亚甲蓝标记切除术。结果16例均成功切除瘘管，切除瘘管长度5—8mm，〈7mm者10例，≥7mm者6例。术后6个月随访，泪道冲洗通畅，皮肤切口愈合良好，瘢痕不明显。结论亚甲蓝标记切除术治疗儿童先天性泪道瘘管，效果确切。Objective To investigate the treatment of children congenital lacrimal duet fistula. Methods From February 2013 to January 2015, 16 eyes of 16 cases of children congenital lacrimal duet fistula in our hospital were diagnosed and treated. Sex proportion was 9：7 （male： female）, age group was 0.5-8 years, average （3.0 ±0.6） years, eye proportion was 6：10 （right：left）. The distance from fistula to inner eanthus were≤5 mm in 13 cases, 〉 5 mm in 3 cases. After irrigation of lacrimal passage and daeryocystography, the fistula was connected with dacryocyst in 12 eases, with common canaliculus in 3 csaes and with inferior lacrimal ductile in 1 ease. All patients underwent fistula resection by methylene blue notation. Results The lacrimal duet fistula was successful resected in all 16 eases, the length of the fistula removed was 5 - 8 mm, 〈7 mm in 10 eases, ≥7 mm in 6 eases. After 6 months follow-up, the lacrimal duet were flushed unohstuetably, the scar of skin was not obvious. Conclusion The resection for the treatment of children congenital lacrimal duct fistula by methylene blue notation is effective.

关 键 词：泪道瘘管 先天性 儿童 切除术 亚甲蓝标记 

分 类 号：R779.6[医药卫生—眼科]