先天性鼻泪管阻塞的临床治疗  

Clinical analysis of the therapeutic effects of congenital nasolacrimal duct obstruction

作　　者：薛利利 张苗 张琳 XUE Lili;ZHANG Miao;ZHANG Lin(Department of Ophthalmology,Xianyang Rainbow Hospital,Xianyang Shaanxi 712000,China)

机构地区：[1]咸阳彩虹医院眼科,陕西咸阳712000

出　　处：《眼科学报》2022年第10期795-798,共4页Eye Science

摘　　要：目的:探讨先天性鼻泪管阻塞的临床治疗效果。方法:选取在咸阳彩虹医院接受治疗并有随诊记录的先天性鼻泪管阻塞患儿共630例(827眼)。根据年龄大小,采用4种方式统计治疗效果。结果:年龄0~2个月患儿230例(286眼),选取泪囊按摩和局部点抗炎眼水治疗,182眼(63.63%)治愈;2~6个月患儿240例(340眼),选取加压冲洗或泪道探通术治疗,338眼(96.74%)治愈;6~12个月患儿150例(188眼),选取泪道冲洗+泪道探通术治疗,188眼(89.74%)治愈;1岁以上患儿10例(13眼),选取泪道探通术加局部抗炎治疗,10眼(76.92%)治愈。结论:2~6个月是先天性鼻泪管阻塞治疗的最佳时间,泪道冲洗加探通技术在治疗婴幼儿先天性鼻泪管阻塞创伤小,疗效肯定,远期复发率低。Objective:To discuss the therapeutic effects of congenital nasolacrimal duct obstruction.Methods:A total of 630 children(827 eyes)with congenital nasolacrimal duct obstruction who were treated in Xianyang Rainbow Hospital and had follow-up records were selected.According to the age,the therapeutic effects were carried out in four ways.Results:A total of 230 cases(286 eyes)aged 0-2 months were treated by massaging lacrimal sac with anti-inflammatory eye water,182 eyes(63.63%)were healed;240 cases(340 eyes)aged 2-6 months were treated by pressor clysis and lacrimal passages probing,and among them 338 eyes(96.74%)were healed.150 cases(188 eyes)aged 6-12 months were treated with lacrimal passage irrigation and lacrimal passage probing.188 eyes(89.74%)were cured;10 cases(13 eyes)aged over 1 year old were tread by probing of the lacrimal passages with anti-inflammatory eye water,10 eyes(76.92%)were healed.Conclusion:2 to 6 months is the best time for the treatment of congenital nasolacrimal duct obstruction,the therapy of pressor clysis with lacrimal passages probing chosen according to the age can treat the congenital nasolacrimal duct obstruction efficiently and decrease the long-term recurrence.

关 键 词：婴幼儿 鼻泪管阻塞 泪道冲洗及探通 治疗时机 并发症 

分 类 号：R777.2[医药卫生—眼科]