泪道探通联合抗生素凝胶注入术治疗先天性泪囊炎的临床技巧

The skills of probing combined with irrigating antibiotic in treating congenital dacryocystitis

目的对提高基础麻醉下泪道探通联合眼用抗生素凝胶注入术治疗先天性泪囊炎的手术成功率的技巧进行临床观察。方法回顾性收集2005年至2006年间山东省眼科医院先天性泪囊炎患者48例(68只眼),年龄在6个月至6岁之间,在基础麻醉下行泪道探通术联合国产0.3%氧氟沙星眼用凝胶注入术,术中氧氟沙星凝胶充满泪囊,并通过凝胶自鼻泪管溢出为标准判定泪道探通效果。术后眼部应用抗生素及非甾体类抗炎滴眼液。观察记录病史、手术过程、治愈率等。结果65只眼1次探通后治愈,3只眼经2次探通后治愈,治愈率100%。其中3只眼行2次手术的患者均有在表麻下泪道探通的病史。随访观察1年未见复发。结论泪道探通联合抗生素眼凝胶注入术治疗先天性泪囊炎要注意手术中的一些技巧,以提高手术成功率与安全性。

Objective To estimate the skills of probing combined with irrigating antibiotic in treating congenital dacryocystitis. Method Between 2005 - 2007, there were 48 （ 68 eyes ） congenital daeryocystitis cases, aged 6 months to 6 years. They were treated with lacrimal passage probing and irrigating 0.3% Ofloxacin gelatum under basal anesthesia. Successful cases were defined with the overflow of gelatum from canalis nasolacfimahs. After the treatment, the patients were droped with antibiotics and non-steroid anti-inflammatory eye drops. Results 65 eyes success by once treatment. 3 eyes success with second time treatment which had the history of probing in local anesthesia. The cure rate is 100%. Conclusion The skills of probing and irrigation in treating congenital dacryocystitis are very important, that can improve the achievement ratio and safe.