新生儿泪囊炎初期泪道冲洗探查50例临床体会

中国实用眼科杂志 Pub Date : 2017-05-10 DOI:10.3760/CMA.J.ISSN.1006-4443.2017.05.016

J. Han

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引用次数: 0

摘要

目的探讨泪道初始冲洗探泪术治疗新生儿泪囊炎的疗效。方法50例(58眼)新生儿泪囊炎，经常规泪囊局部抗生素眼液按摩治疗无效，在局麻下行灌道及穿刺治疗，观察其疗效。结果本组50例(58眼)2 ~ 6月龄泪道冲洗探查成功率100%(19/19)，6 ~ 18月龄39眼，1次探查治愈28眼，2次探查治愈7眼，4眼失败。结论2月龄以上的新生儿泪囊炎，应尽早行泪道冲洗及探喉术，安全可行。关键词:泪道冲洗探查;新生儿泪囊炎;治疗效果

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Clinical experience of initial lacrimal passage irrigation and probing in 50 cases of neonatal dacryocystitis

Objective To evaluate the therapeutic effectiveness of initial lacrimal passage irrigation and probing in neonatal dacryocystitis. Methods Fifty cases (58 eyes) with neonatal dacryocystitis which had no effect by routine dacryocyst massage with local antibiotics ophthalmic solutions were treated with passage irrigation and probing under local anesthesia to observe the therapeutic effectiveness. Results In this study, the success rate of initial lacrimal passage irrigation and probing for 50 cases (58 eyes) at 2-6 months of age was 100% (19/19), 39 eyes were in aged 6-18 months, in which 28 eyes cured with once probing, 7 eyes cured with twice probing, 4 eyes failed. Conclusions In neonatal dacryocystitis, aged above 2 months, lacrimal passage irrigation and probing should be performed as soon as possible which is also safe and feasible. Key words: Lacrimal passage irrigation and probing; Neonatal dacryocystitis; Therapeutic effect

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来源期刊

中国实用眼科杂志

自引率

0.00%

发文量

9101

期刊介绍： China Practical Ophthalmology was founded in May 1983. It is supervised by the National Health Commission of the People's Republic of China, sponsored by the Chinese Medical Association and China Medical University, and publicly distributed at home and abroad. It is a national-level excellent core academic journal of comprehensive ophthalmology and a series of journals of the Chinese Medical Association. China Practical Ophthalmology aims to guide and improve the theoretical level and actual clinical diagnosis and treatment ability of frontline ophthalmologists in my country. It is characterized by close integration with clinical practice, and timely publishes academic articles and scientific research results with high practical value to clinicians, so that readers can understand and use them, improve the theoretical level and diagnosis and treatment ability of ophthalmologists, help and support their innovative development, and is deeply welcomed and loved by ophthalmologists and readers.