泪道探通联合眼膏注入术治疗慢性泪囊炎284例临床分析

Clinical analysis of 284 cases of chronic dacryocystitis by probing of lacrimal passages and ointment injection

目的:探讨泪道探通联合妥布霉素+地塞米松眼膏注入术治疗慢性泪囊炎的疗效。方法:回顾性系列病例研究。我院从1990-05/2008-05给予284例308眼慢性泪囊炎采用泪道探通术,留针30min～2h,然后将妥布霉素+地塞米松眼膏1～1.5mL缓慢注入泪道。1次/wk,6次为1疗程。结果:患者284例308眼中,治愈252眼(81.8%),好转56眼(18.2%)。结论:泪道探通联合妥布霉素+地塞米松眼膏注入术在基层治疗慢性泪囊炎中不失为一种简便易行,经济实用的方法。

·AIM：To investigate the efficacy of probing of lacrimal passages combined with tobramycin＋dexamethasone eye ointment injection for chronic dacryocystitis.·METHODS：A retrospective case series was studied.From 1990-05 to 2008-05 284 patients 308 eyes with chronic dacryocystitis in our hospital underwent probing of lacrimal passages（retention time：30 minutes-2 hours）combined with tobramycin＋dexamethasone eye ointment injection（dosage：1-1.5mL）.Once a week with six times one treatment phase.·RESULTS：Cases with cured were in 252 eyes（81.8%）and with improvement in 56 eyes（18.2%）.·CONCLUSION：The probing of lacrimal passages combined with tobramycin＋dexamethasone eye ointment injection is the simple,economical and practical way for chronic dacryocystitis in primary hospital.·