自制泪道探针治疗不同年龄段先天性鼻泪管阻塞  

Efficacy of self-made lacrimal probe for congenital nasolacrimal duct obstruction in children ofdifferent age

作　　者：王雪[1] 郎卫华[1] 李坤[1] Wang Xue;Lang Weihua;Li Kun(Department of Pediatric Opthalmology, Cangzhou Center Hospital, Hebei 061001, China)

机构地区：[1]沧州市中心医院小儿眼科,河北061001

出　　处：《中华眼外伤职业眼病杂志》2018年第6期465-467,共3页Chinese Journal of Ocular Trauma and Occupational Eye Disease

摘　　要：目的探讨不同年龄段先天性鼻泪管阻塞泪道探通术的疗效。方法先天性鼻泪管阻塞206例（282眼），按年龄分为3—6个月、7～12个月、13～54个月3组。所有患儿均于局部麻醉下用自制的泪道探针行泪道探通术。结果3～6个月组为99．48％，7～12个月组为92．65％，13～54个月组为66．67％。随着年龄增长总治愈率逐渐降低。治愈率组问比较：3～6个月组高于7～12月组，差异有统计学意义（P=0．005）；7—12月组高于13—54月组，差异有统计学意义（P=0．006）。结论局部麻醉下自制泪道探针泪道探通术是治疗先天性鼻泪管阻塞的有效方式，3～6月是最佳的探通时机，随着年龄增长，治愈率逐渐下降。Objective To investigate the efficacy of self-made lacrimal probe for the treatment of congenital nasolaerimal duct obstruction in children of different age. Methods A total of 282 eyes of 206 infants with congenital nasolacrimal duct obstruction were collected and they were divided into three groups （3-6,7-12,13-54 months group） according to age. All cases received lacrimal duct probing with self-made lacrimal probe under topical anesthesia. Results The success rate decreased with age. The sucess rate of 3- 6 months group was 99.48%, the 7-12 months group was 92.65%, and the 13-54 months group was 66.67%. The difference was statistically significant between 3-6 months group and 7-12 months group （P = 0. 005 ）. The success rate of 7-12 months group was higher than that of 13-54 months group （P = 0. 006）. Conclusion Probing of lacrimal duct with self-made lacrimal probe is an effective treatment for congenital nasolacrimal duct obstruction and the best time for treating is the infancy in 3-6 months. The success rate decreases with age.

关 键 词：泪器疾病 阻塞 鼻泪管 先天性 探针 泪道 自制 探通术 疗效 

分 类 号：R779.6[医药卫生—眼科]