泪道探通术治疗先天性鼻泪管阻塞54例临床观察

Troatment for Congenital Nasolacrimal Duct Obstruction

目的探讨泪道探通术治疗婴幼儿先天性鼻泪管阻塞的效果。方法年龄6～18月的婴幼儿先天性鼻泪管阻塞54例,以8号冲洗式泪道探针,经下泪小点(泪小点扩大器扩大下泪小点后)进针探通治愈,观察半年疗效。结果54眼一次探通治愈,并发症主要为出血2例,无1例假道形成。结论用8号冲洗式泪道探针经下泪水管进行泪道探通术,是治疗先天性鼻泪管阻塞的一种操作简便,成功率高,并发症少复发率低的治疗方法。

Objective To investigate the effects of treatment for congenital nasolaerimal duct obstruction. Methods 54 infants （54 eyes） of 6 to 18 months with congenital nasolacrimal duct obstruction were treated with probing. Results 54 eyes were cured.The main complication was hemorrhage. Conclusion Probing is effective for congenital nasolacrimal duct obstruction and easy to operate.