泪道探通术治疗新生儿泪囊炎40例疗效分析

Analysis of treating neonatal dacrystitis by probing of lacrimal passage in 40 cases

目的:分析泪道探通术治疗新生儿泪囊炎的疗效。方法:常规泪囊按摩结合局部点用抗生素眼液无效的40例56眼新生儿泪囊炎患儿,6月龄后局部麻醉下行泪道探通治疗,常规探通次数为1次。平均随访1a,观察疗效及其相关因素。结果:患者56眼中使用泪道探通术共治愈53眼,治愈率为94.6%。患儿年龄6月龄时的治愈率为100%,随年龄增长治愈率呈下降趋势。结论:新生儿泪囊炎的治疗应尽早为宜。泪道探通术操作简单,可在局部麻醉下施行。其组织损伤小,疗效确切,值得推广。

AIM：To evaluate the therapeutic effectiveness of probing of lacrimal passage in the treatment of the neonatal dacrystitis. METHODS： Forty cases （56 eyes） with neonatal dacryocystitis which had no effect by routine dacryocyst massage with local antibiotics ophthalmic solutions were treated with probing of lacrimal passage under local anesthesia at 6 months of age. Patients were routinely probed for one time and follow-uped averagely for 1 year to observe the therapeutic effect and related factors. RESULTS： Fifty-three eyes（94.6%） in 56 eyes were cured by probing of the lacrimal passage. The success rate for children at 6 months of age was 100% and it showed a downtrend with age.CONCLUSION： Treatment of neonatal dacryocystitis should be taken as early as possible. Probing of lacrimal passage can be performed under local anesthesia and it is simplicity of operation. The tissue damage is slight and the therapeutic effect is obvious. So it is worth being spread