婴幼儿先天性鼻泪管阻塞的治疗探讨
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Treatment of infants with congenital nasolacrimal duct obstruction
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    摘要:

    目的:探讨不同年龄阶段的先天性鼻泪管阻塞的婴幼儿,在不同时期采取不同的治疗方法。

    方法:将87例102眼患儿分成三个不同的年龄段组:第一组:25天龄~3月龄21例26眼; 第二组:>3~7月龄31例36眼; 第三组:>7~24月龄35例40眼。对第一组实行泪囊鼻泪管按摩+滴眼液治疗; 对第二组进行泪道加压冲洗治疗; 对第三组施行鼻泪管探通术治疗。

    结果:第一组患儿经泪囊鼻泪管按摩+滴妥布霉素眼液治疗通畅者12眼,治愈率为46.2%; 第二组患儿经泪道加压冲洗治疗通畅者33眼,治愈率为91.7%; 第三组患儿经鼻泪管探通术治疗通畅者36眼,治愈率为90.0%。第二组和第三组效果明显优于第一组(χ2=15.71,P<0.01; χ2=15.27,P<0.01); 第二组和第三组治疗效果无明显差异(χ2=0.02,P>0.05)。

    结论:婴幼儿先天性鼻泪管阻塞应该区分年龄阶段,采取不同的治疗方法,才能获得较好的治疗效果,而泪道加压冲洗是治疗婴幼儿先天性鼻泪管阻塞的首选方式。

    Abstract:

    AIM: To explore the different ages of congenital nasolacrimal duct obstruction in infants, take different treatment methods at different times.

    METHODS:The 87 cases of 102 children were divided into three different age groups: the first group of 25d-3mo of age 21 cases 26 eyes; The second group >3mo-7mo 31 cases 36 eyes; The third group >7-24mo of age 35 cases 40 eyes. For the first group of infants, the implementation of the lacrimal sac nasolacrimal duct massage + eye drops; for the second group of infants, carry lacrimal pressure washing treatment; for the third group of infants, the implementation of the nasolacrimal duct probing treatment.

    RESULTS:The first group of children through the nasolacrimal duct sac massage + drops tobramycin eye drops treatment unobstructed 12, the cure rate was 46.2%; The second group of children through pressurized irrigation treatment lacrimal patency by 33, the cure rate was 91.7%; The third group of children through the nasolacrimal duct probing unobstructed 36 treatment, the cure rate was 90.0%. The second and third group were better than the first group(χ2=15.71, P<0.01; χ2=15.27, P<0.01); the treatment effect of the second and third groups was no significant difference(χ2=0.02, P>0.05).

    CONCLUSION:Infants with congenital nasolacrimal duct obstruction should distinguish between ages, taking different treatments, in order to obtain a better therapeutic effect, and lacrimal pressure washing is the preferred way of treating infants with congenital nasolacrimal duct obstruction.

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陈卓,许海嘉,鲜依鲆,等.婴幼儿先天性鼻泪管阻塞的治疗探讨.国际眼科杂志, 2014,14(7):1344-1347.

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  • 收稿日期:2014-02-21
  • 最后修改日期:2014-06-10
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  • 在线发布日期: 2014-06-19
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