新生儿泪囊炎泪道探通术的时机探讨  

An investigation of timing of lacrimal passage probing for neonatal dacryocystitis

作　　者：李素霞[1] 张莹[1] 孙广莉[1] Li Suxia;Zhang Ying;Sun Guangli(Department of Ophthalmology,the First Affiliated Hospital of Zhengzhou University,Henan Provincial Ophthalmic Hospital,Zhengzhou 450052,China)

机构地区：[1]郑州大学第一附属医院眼科河南省眼科医院,郑州450052

出　　处：《中华眼外伤职业眼病杂志》2021年第7期511-514,共4页Chinese Journal of Ocular Trauma and Occupational Eye Disease

基　　金：河南省高等学校重点科研项目(19A320012)。

摘　　要：目的:探讨新生儿泪囊炎泪道探通术的时机。方法:回顾性分析郑州大学第一附属医院2019年1至12月眼科门诊治疗的1~24个月龄新生儿泪囊炎202例(234眼)的临床资料,根据手术时患儿月龄分为3组。A组,96例(112眼),月龄为1~6个月;B组,74例(86眼),月龄为7~12个月;C组,32例(36眼),月龄为13~24个月。所有患儿接受泪道探通术,对比3组患儿泪道探通术的治疗效果。结果:A组治愈率为99.11%(111/112),高于B组的89.53%(77/86)和C组的66.67%(24/36)( P<0.05);B组的治愈率高于C组( P<0.001),月龄越小,手术治愈率越高。 结论:新生儿泪囊炎最佳治疗时机为出生后1~6个月。Objective To investigate the timing of lacrimal passage probing in neonatal dacryocystitis.Methods The clinical data of 234 eyes of 202 infants with dacryocystitis aged 1-24 months in the ophthalmology clinic from Jan.2019 to Dec.2019 in the First Affiated Hospital of Zhengzhou University were analyzed retrospectively.These cases were divided into three groups based on the age of the patients.Group A included 112 eyes of 96 patients,aged 1-6 months;group B included 86 eyes of 74 patients,aged 7-12 months;group C included 36 eyes of 32 patients,aged 13-24 months.All cases received the lacrimal duct probing.The therapeutic efficacy among the 3 groups were compared.Results The cure rate of group A was 99.11%(111/112),which was higher than that of group B(89.53%,77/86)and group C(66.67%,24/36)(P<0.05).The cure rate of group B was higher than that of group C(P<0.001).The results showed that the younger the age the higher the cure rate.Conclusion The best time for the treatment of neonatal dacryocystitis is 1-6 months after birth.

关 键 词：泪囊炎 新生儿 探通术 泪道 时机 疗效 

分 类 号：R779.6[医药卫生—眼科]