泪道探通术治疗先天性泪囊突出病例分析

Case analysis on the treatment of congenital dacryocystocele by probing of lacrimal passage

目的通过分析先天性泪囊突出的临床表现及特征,探讨泪道探通治疗先天性泪囊突出的临床效果及时机选择。方法回顾分析2011年6月至2013年6月就诊于保定市儿童医院的18例(20眼)先天性泪囊突出病例,总结先天性泪囊突出的临床特点,分析泪道探通治疗保守无效的先天性泪囊突出的临床效果及手术时机。结果 18例(20眼)先天性泪囊突出患儿,男性患儿10例(11眼),女性患儿8例(9眼),平均年龄10.6 d。通过泪囊区按摩、泪道冲洗、患眼局部应用抗生素眼药水等保守方法治疗,治愈6眼,保守治疗无效者行泪道探通术;经一次泪道探通术治愈的患眼为12眼;经二次泪道探通治愈的患眼为2眼。结论对保守治疗无效的先天性泪囊突出患儿行泪道探通治疗能达到满意恢复效果,早期手术干预治疗能很大程度预防严重感染等并发症发生。

Objective To discuss the treatment and the time of congenital dacryocystocele through the analysis of clinical manifestations and characteristics of congenital dacryocystocele. Methods Retrospective analysis of congenital dacryocystocele 18cases （20 eyes） treated in our hospital from June 2011 to June 2013 were conducted to summarize the clinical manifestations and characteristics of congenital dacryocystocele and analyze the treatment of congenital dacryocystocele and time choice. Results In 18 cases （20 eyes） of congenital dacryocystocele children, 10 cases of male patients （11 eyes）, 8 female children （9 eyes）, with an average age of 10.6 days. 6 eyes were cured by dacryocyst massage, irrigation of lacrimal passage, application of antibiotic eye drops and other conservative method. 12 eyes were cured by the one probing of lacrimal passages. 2 eyes were cured by the two probing of lacrimal passages. Conclusion Probing of lacrimal passage can be used to treat congenital dacryocystocele. To a large extent, early operation treatment can prevent severe complications.