[1]兰芳. 不同泪道冲洗液联合不同术式治疗婴幼儿泪囊炎的疗效对比[J].眼科新进展,2015,35(4):384-386.[doi:10.13389/j.cnki.rao.2015.0104]
　LAN Fang. Treatment of infant dacryocystitis with different lacrimal passage rinse solution combined with different surgical methods[J].Recent Advances in Ophthalmology,2015,35(4):384-386.[doi:10.13389/j.cnki.rao.2015.0104]
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 不同泪道冲洗液联合不同术式治疗婴幼儿泪囊炎的疗效对比
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《眼科新进展》[ISSN:1003-5141/CN:41-1105/R]

卷:
35卷
期数:
2015年4期
页码:
384-386
栏目:
应用研究
出版日期:
2015-04-05

文章信息/Info

Title:
 Treatment of infant dacryocystitis with different lacrimal passage rinse solution combined with different surgical methods
作者:
 兰芳
 475000　河南省开封市，开封市儿童医院眼科
Author(s):
 LAN Fang
 Department of Ophthalmology,Children’s Hospital of Kaifeng City,Kaifeng 475000,Henan Province．China
关键词:
 ; 激素性或非激素性眼液; 上泪小点; 下泪小点; 泪道探通术; 婴幼儿泪囊炎
Keywords:
 ; hormone-contairung or hormone-free eye drops;  upper lacrimal point ;  lower lacrimal point ;  lacrimal passage probing ;  infant dacryocystitis
DOI:
10.13389/j.cnki.rao.2015.0104
文献标志码:
A
摘要:
 目的　对比分析自上泪小点或下泪小点不同的手术进针方式进行泪道探通，及术中应用含激素性或非激素性眼液进行泪道冲洗对婴幼儿泪囊炎的疗效。方法　选取我院婴幼儿泪囊炎患者７７１例（１０６４眼），按年龄分为３组：７ｄ～１岁组（６３２眼），＞１～２岁组（２６８眼），＞２～４岁组（１６４眼）；按不同的手术进针方式分为２组：上泪小点组和下泪小点组；按不同泪道冲洗液分为２组：含激素性冲洗液和非含激素性冲洗液。观察各组疗效情况。结果　７ｄ～１岁组、＞１～２岁组、＞２～４岁组患儿治愈率分别为９７.５％、８５．４％和３６．６％，各组间差异均有统计学意义（均为Ｐ＜０．０５）。７ｄ～１岁组上泪小点术式治愈率为９９．１％，显著高于下泪小点术式的９５．９％，差异有统计学意义（Ｐ＝０．０２０）；＞１～２岁组上泪小点术式治愈率为９２．５％，显著高于下泪小点术式的７８．４％，差异有统计学意义（Ｐ＝０．００２）；＞２～４岁组使用含激素性泪道冲洗液治愈率为５３．３％，显著高于使用非含非激素性泪道冲洗液的１６．２％，差异有统计学意义（Ｐ＝０．０００）。结论　婴幼儿泪囊炎随着患儿年龄的增长，泪道探通的治愈率逐渐降低；上泪小点术式泪道探通术更适合于≤２岁的婴幼儿泪囊炎患者；激素性泪道冲洗液更适合于＞２～４岁的婴幼儿泪囊炎患者。
Abstract:
 Objective To determine the clinical effects and the incidence of postoperative complications of probing lacrimal passage with different surgical methods. i. e. via upper or lower lacrimal point , or combined with local application of hormone-contairung or hormone-free eye drops in the treatment of infant dacryocystitis. Methods A total of 771 cases ( 1064 eyes) participated in this study. According to the age, the patients were divided into three groups: Group A included 632 patients with 7 days to I year old ( including I year) , group B included 268 patients with I years t0 2 years old ( including 2 years) , and group C included 164 patients with 2 years t0 4 years old (including 4 years). According to the different treatment modality, the patients were divided into two groups : Group I received surgical treatment via the upper lacrimal point, group 2 via the lower lacrimal point. According to the different lacrimal passage rinse solution, the patients were divided into two groups: Group I used the hormone-contauung eye drops, and group n used the hormone-free eye drops. The clinical effects were observed. Results The curative rates in group A, B and C were 97. 5% . 85. 4% . 36. 6% , respectively, there were sigruficant differences among three groups ( all P <0. 05 ). The curative rates in group I and group 2 were 99. 1% , 95. g% , respectively, there was significant difference (P = 0. 020) . The curative rate in group B via the upper -lacrimal point and the lower-lacrimal point were 92. 5% . 78. 4% , respectively, there was sigruficant difference (P = 0. 002). The curative rate in group C with hormone-containing and hormone-free eye drops were 53. 3% . 16. 2% , respectively, there was significant difference (P = 0. 000) . Conclrision The curative rate of lacrimal passage probing for infant dacryocystitis decreases gradually with the increased age , the lacrimal passage probing via the upper lacrimal point is more suitable for infant dacryocystitis with less than 2 years old, and hormone-containing eye drops is more suitable for infant dacryocystitis with 2 years t0 4 years old.

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更新日期/Last Update: 2015-03-31