泪道探通术治疗鼻泪管阻塞患儿效果的相关因素分析  

Analysis of related factors affecting the outcome ofchildren treated with tear duct probing

作　　者：童林利 熊永强 林春堤[1] 吕月娥 林琳[1] TONG Lin-li;XIONG Yong-qiang;LIN Chun-di;LYU Yue-e;LIN Lin(Department of Ophthalmology,Women and Children's Hospital Affiliated to Xiamen University,Xiamen Maternal and Child Health Hospital,Xiamen,Fujian 361001,China)

机构地区：[1]厦门大学附属妇女儿童医院(厦门市妇幼保健院)眼科,福建厦门361001

出　　处：《中国妇幼保健》2025年第2期283-286,共4页Maternal and Child Health Care of China

基　　金：福建省卫生健康科技计划项目(2020-CXB-62)。

摘　　要：目的分析泪道探通术治疗鼻泪管阻塞患儿效果的相关因素。方法回顾性分析2022年2月—2023年8月在厦门大学附属妇女儿童医院行泪道探通术治疗的168例1~8岁鼻泪管阻塞患儿的临床资料,根据治疗效果分为有效组(146例)和无效组(22例)。对比两组患儿的一般资料、疾病资料以及围手术期资料,应用多因素logistic回归模型分析影响泪道探通术患儿治疗效果的相关因素。结果多因素logistic回归模型显示:年龄≥3岁、学历为小学、未伴脓性分泌物、无泪囊炎既往史、无术后感染发生是泪道探通术患儿治疗效果的保护因素(OR=0.635、0.380、0.578、0.303、0.680,均P<0.05),病程>24个月和鼻泪管阻塞分型为复杂型是泪道探通术患儿治疗效果的危险因素(OR=2.764、5.025,均P<0.05)。结论泪道探通术治疗鼻泪管阻塞患儿效果的主要因素有年龄、学历、伴脓性分泌物情况、泪囊炎既往史、术后感染发生情况、病程以及鼻泪管阻塞分型。Objective To analyze the related factors affecting the therapeutic effect of tear duct probing in children with obstruction of naso-lacrimal duct.Methods The clinical data of 1681-8-year-old children with obstruction of naso-lacrimal duct who were treated with tear duct probing in Women and Children's Hospital Affiliated to Xiamen Universit from February 2022 to August 2023 were retrospectively analyzed,then they were divided into effective group(146 cases)and ineffective group(22 cases)according to the therapeutic effect.The general data,disease data,and perioperative data of the two groups were compared.Multivariate logisitic regression model was used to analyze the related factors affecting the therapeutic effect of children treated with tear duct probing.Results Multivariate logisitic regression model showed that aged or more than 3 years old,primary school educational level,without purulent secretion,without history of dacryocystitis,and without postoperative infection were the protective factors of therapeutic effect of tear duct probing in children(OR=0.635,0.380,0.578,0.303,0.680,all P<0.05),the duration of disease more than 24 months and complex classification of obstruction of naso-lacrimal duct were the risk factors of therapeutic effect of tear duct probing in children(OR=2.764,5.025,both P<0.05).Conclusion The main factors affecting the therapeutic effect of tear duct probing in children with obstruction of naso-lacrimal duct include age,educational level,purulent secretion,history of dacryocystitis,postoperative infection,course of disease,and classification of obstruction of naso-lacrimal duct.

关 键 词：泪道探通术 鼻泪管阻塞 儿童 治疗效果 相关因素 

分 类 号：R725.6[医药卫生—儿科]