改良泪道冲洗在新生儿泪囊炎的临床应用

Clinical study of lacrimal duct flush with an improved method in treating neonatal dacryocystitis

目的:评价加压泪道冲洗对新生儿泪囊炎的临床治疗效果。方法:在门诊治疗中对3mo以上的新生儿泪囊炎280例340眼进行泪道冲洗,随机分为2组,A组140例164眼采用常规方法冲洗,B组140例176眼进行加压泪道冲洗,对比并观察冲洗治疗效果。结果:A组冲洗1～3次通畅9眼(5.5%);冲洗4次以上通畅14眼(8.5%);需加泪道探通141眼(86.0%)。B组冲洗1～3次通畅128眼(72.7%);冲洗4次以上通畅31眼(17.6%),需加泪道探通术17眼(9.7%)。改良方法的成功率明显高于常规方法。结论:加压泪道冲洗可明显提高新生儿泪囊炎泪道冲洗成功率。

AIM ： To evaluate the clinical effect of lacrimal duct flush with an improved method in treating neonatal dacryocystitis. METHODS： Two hundred and eighty cases （340 eyes） with neonatal dacryocystitis were treated with lacrimal duct flush between 2006 and 2009, the cases were grouped in two categories： 140 cases 164 eyes in A （ lacrimal duct flush） group, and 140 cases 176 eyes in B （lacrimal duct flush with an improved method） group. RESULTS： After follow-up for 3-18 months, 141 eyes 86. 0% of 164 eyes were not cured by lacrimal duct flush in A group. However, there were only 17 eyes 9.7% of 176 eyes need probing in B group. CONCLUSION： Lacrimal duct flush with an improved method is an effective method in treating neonatal dacryocystitis.