新生儿泪囊炎多元措施干预的疗效观察  

Clinical efficacy of multiple interventions to neonatal dacryocystitis

作　　者：李霞[1] 吴青松[1] 李拓[1] 宋秀胜[1] 

机构地区：[1]恩施州中心医院,武汉大学恩施临床学院眼科中心,湖北省445000

出　　处：《中国实用眼科杂志》2017年第4期418-420,共3页Chinese Journal of Practical Ophthalmology

基　　金：2015湖北省科技计划项目（2015CFC791）;2015-2016湖北省卫生计生项目（WJ2015MBl94）

摘　　要：目的 对临床确诊的新生儿泪囊炎,观察采用多元措施干预的的疗效,为临床提高新生儿泪囊炎的治疗效果提供依据.方法 于2014年9月至2015年9月,经临床确诊新生儿泪囊炎患者78例（97只眼）.首诊患儿通过泪囊按摩,每日2次,然后滴抗生素眼药水.若经过泪囊按摩2周泪道未通畅,则进行泪道加压冲洗.如仍不见效,则进行泪道探通术,对于术后不通患儿手术后1周行泪道二次探通术,二次探通失败者,术后2周可再行泪道探通术.治愈标准为无溢泪,无分泌物,泪道冲洗通畅.术后仍然溢泪,伴分泌物,泪道冲洗不畅为无效.结果 78例（97只眼）患儿均治愈,其中2例（2只眼）患者仅通过泪囊按摩;21例（25只眼）患儿经过1～4次泪道加压冲洗;1例（2只眼）患儿,一眼经2次冲洗,另一眼经探通;余54例（68只眼）患儿在前序治疗无效的基础上,予行泪道探通术后治愈,其中3例经行两次探通,1例行3次探通术.未发现骨性阻塞患儿.结论 多元干预措施对新生儿泪囊炎患者有效,且简单易行,可改善新生儿泪囊炎患儿的预后.Objective To explore and investigate the effects of the multiple intervention to neonatal dacryocystitis.Methods Seventy-eight cases （97 eyes） of congenital dacryocystitis from September 2014 through September 2015 were studied.All the cases were grouped in three categories：1 month to 6 months,7 to 12 months,and 13 to 24 months.Lacrimal sac massage,flushing pressure,and probing of lacrimal passage were operated in turn,the therapeutic effect of different groups were compared.Successful cases were defined with absence of symptoms and signs like tearing,crusting,and discharge,regurgitation with pressure on the lacrimal sac.Results All of the 78 cases （97 eyes） were cured,of which,2 eyes were given antibiotic eye drops and with lacrimal sac massage only.No one need to be combined with silicone tube implanted.Bony lacrimal duct obstruction had not been found.Conclusions Multiple interventions to congenital dacryocystitis are simple and effective,and can improve prognosis.

关 键 词：新生儿泪囊炎 治疗 

分 类 号：R777.23[医药卫生—眼科]