鼻泪管膿液抽吸术治疗新生兒泪囊炎

Treament of purulence aspiration in nasolacrimal duct in neoratal dacryocystitis

目的 探讨鼻泪管膿液抽吸術治療新生兒泪囊炎。方法 新生兒泪囊炎用按摩、冲洗泪道、探通泪道治療方法無效者,用6號空心泪道探针抽吸鼻泪管膿液,然后冲洗泪道。结果 36人39眼中32人35眼抽出约0.5-0.6ml不等量的粘稠膿液,再冲洗泪道通畅。使新生兒泪囊炎治愈率提高15.49％。结论 根據婴幼兒泪道解剖特黠和臨床实践,發现部分新生兒泪囊炎患兒泪囊和鼻泪管同时存在横膿,鼻泪管抽吸術作为泪道探通術失败后的一種補充治療方法,可以明顯提高新生兒泪囊炎的治愈率。

Objective To investigate the effect of purulence aspiration in nasolacrimal duct on neonatal dacryocystitis. Methods 36 patients (39 eyes) were selected in whom neonatal dacryocystitis failed to respond to massage, lacrimal passage irrigation or probing. Purulence in nasolacrimal duct was aspirated with No.6 hollow laerimal probe. After that,lacrmal passage was irrigated. Resultes In 32 patients (35 eyes), pus was aspirated of different amount from 0.5 to 0. 6ml. Finally, the lacrimal passage was irrigated. The cure rate of neonatal dacryocystitis was increased by 15.49% . Conclusion According to of infantile nasoplacrimal passage and clinucal experienle, we found pus in both lacrimal sac and duct. As a supplementary treatment, aspiration of puiulence in nasolacrimal duce conducted after failure of nasolacrimal passage probing can increase the cure rate of neonatal dacryocystitis signficantly.