先天性鼻泪管阻塞最佳探通时机的研究  

Study on Optimal Probing Timing for congenital nasolacrimal Duct Obstruction

作　　者：蒋惠芬[1] 徐华[1] 冯柯红[1] 龚宇[1] 刘香[1] 赵磊[1] 范莲[1] JIANG Huifen;XU Hua;FENG Kehong;GONG Yu;LIU Xiang;ZHAO Lei;FAN Lian(Department of Ophthalmology,Children’s Hospital of Suzhou University,Suzhou Jiangsu 215025,China)

机构地区：[1]苏州大学附属儿童医院眼科,江苏苏州215025

出　　处：《临床研究》2022年第4期49-52,共4页Clinical Research

摘　　要：目的探讨先天性鼻泪管阻塞的最佳泪道探通时机。方法回顾性分析2017年11月至2018年12月于苏州大学附属儿童医院眼科就诊并在表面麻醉下行泪道探通术的先天性鼻泪管阻塞患儿660例,按患儿性别分成男女两组,按泪道阻塞眼别情况分成单眼阻塞和双眼阻塞两组,以及按治疗年龄分成6组:3月龄组60例65眼、4月龄组191例224眼、5月龄组114例137眼、6月龄组73例83眼、7~12月龄组159例180眼、13~48月龄组63例76眼,分别统计比较各组泪道探通术的成功率。结果本研究共计先天性鼻泪管阻塞患儿660例765眼,发病男女比例为1.5∶1,单眼阻塞占84.09%,双眼阻塞占15.91%。患儿性别及单双眼阻塞对泪道探通术的成功率无显著影响。泪道探通术总体一次性探通成功率为86.67%,且随着年龄增加而显著下降:3月龄组成功率为96.92%,4月龄组成功率为91.52%,5月龄组成功率为86.86%,6月龄组成功率为81.93%,7~12月龄组成功率为81.67%,13~48月龄组成功率为80.26%。结论泪道探通术是治疗先天性鼻泪管阻塞的安全有效的方法,其一次性探通成功率随年龄增加而逐渐下降,最佳探通时机为3~4月龄,尤以3月龄为更佳。Objective To explore the optimal probing timing for congenital nasolacrimal duct obstruction(CNLDO).Methods In this retrospective study,660 patients diagnosed CNLDO were treated by office probing under surface anesthesia between Nov.2017 and Dec.2018 in children’s hospital of Suzhou university.According to the condition of lacrimal passage obstruction,the patients were divided into monocular obstruction group and binocular obstruction group,and 6 groups according to treatment age:60 cases(65 eyes)in the 3-month age group,191 cases(224 eyes)in 4-month group,114 cases(137 eyes)in 5-month group,73 cases(83 eyes)in 6-month group,159 cases(180 eyes)in 7-12-month group,and 63 cases(76 eyes)in 13-48-month group.The success rate of probing of lacrimal passage in each group was statistically compared.Results In this study,660 cases(765 eyes)with congenital nasolacrimal duct obstruction were studied,the ratio of male to female was 1.5∶1,monocular obstruction was 84.09%,binocular obstruction was 15.91%.There was no significant difference in the success rate of dacryocystorhinostomy between gender and single or double eyes.The overall success rate of one-off probing of lacrimal passage was 86.67%,and decreased significantly with age:96.92%in 3-month group,91.52%in 4-month group,86.86%in 5-month group and 81.93%in 6-month group,the success rate was 81.67%in the 7~12 month group and 80.26%in the 13~48 month group.Conclusion Probing of lacrimal passage is a safe and effective method for the treatment of congenital nasolacrimal duct obstruction,the success rate of one-time probing decreases gradually with the increase of age,the best probing time is 3~4 months,especially 3 months.

关 键 词：先天性鼻泪管阻塞 泪道探通 最佳时机 

分 类 号：R779.6[医药卫生—眼科]