泪道探通联合留线术治疗新生儿泪囊炎

Neonatal Dacryocystitis Treated by Probing of Lacrimal Passage in Combination with Left-line Operation

目的观察应用泪道探通联合留线术治疗新生儿泪囊炎的临床效果。方法对20例(20眼)经反复泪道冲洗无效的新生儿泪囊炎应用泪道探通联合留线术,术后留线15天后拔除,留线期间泪道冲洗1次/3d,并点托百士眼液(妥布霉素滴眼液)3次/d,连续15d。随访3～6个月。结果选取的20例新生儿(20眼)均治愈,治愈率达100%。20眼随访3～6个月,无1眼复发。结论泪道探通联合留线术是治疗新生儿泪囊炎的有效方法,值得临床推广应用。

Objective To observe the effects of probing of lacrimal passage combined with left-line operation on neonatal dacry- ocystitis. Methods 20 cases （20 eyes） with dacryocystitis which were invalid by repeatedly washing lacrimal duct were treated by lacrimal passage combined with left-line operation, the line was removed after 15 days, lacrimal duct was washed every three days during the period of left-line time, and tobramycin eye diyanye was given 3 times/d with consecutive 15 days. Follow-up time was 3 to 6 months. Results All cases were cured with the cure rate of 100%, and no recurrence happened. Conclusions Probing of lacrimal passage combined with left-line operation are the effective methods of treating the neonatal dacryocystitis, which are worthy of clinical promotion and application.