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新生儿泪囊炎的治疗分析
引用本文:李劲 吴彤霞. 新生儿泪囊炎的治疗分析[J]. 上海交通大学学报(医学版), 2005, 25(8): 853-855
作者姓名:李劲 吴彤霞
作者单位:上海第二医科大学仁济医院眼科,上海,200127;上海第二医科大学仁济医院眼科,上海,200127
摘    要:目的 分析加压泪道冲洗和泪道探通法治疗新生儿泪囊炎的疗效。方法泪囊按摩无效的140例(150眼)新生儿泪囊炎患儿,进行加压泪道冲洗1次,无效后即行泪道探通治疗,常规探通次数不超过3次。平均随访9月,观察分析疗效及其相关因素。结果150眼中共治愈146眼(97.33%),其中加压泪道冲洗治愈18眼(12.00%),泪道探通治愈128眼(96.97%)。患儿年龄6月以内的治愈率为100%,随年龄增长治愈率呈下降趋势,1岁以后,治愈率仅为86.36%。结论新生儿泪囊炎的治疗应尽早为宜。加压泪道冲洗和泪道探通治疗法操作简单、疗程短、成功率高且并发症少。

关 键 词:新生儿泪囊炎  泪道冲洗  泪道探通
文章编号:0258-5898(2005)08-0853-03
收稿时间:2005-04-03
修稿时间:2005-04-30

Analysis of Treating Neonatal Dacrystitis
Li Jin;Wu TongXia. Analysis of Treating Neonatal Dacrystitis[J]. Journal of Shanghai Jiaotong University:Medical Science, 2005, 25(8): 853-855
Authors:Li Jin  Wu TongXia
Abstract:Objective To evaluate the effectiveness of probing and scouring of the lacrimal passage in treatment of the neonatal dacrystitis. Methods The probing of the lacrimal passage was performed one time in 140 cases(150 eyes) with neonatal dacrystitis which were ineffiective in dacryocyst massage. If still there was no effect, scouring of the lacrimal passage was done not more than three times. Results Eighteen eyes(12.00%) were cured by probing of the lacrimal passage,and 128 eyes(96.97%) by scouring of the lacrimal passage in 132 eyes. 97.33% neonatal dacrystitis was cured totally.The success rate for children within 6 months was 100%. Above one year, the success rate was only 86.36%. Conclusion Probing and scouring of the lacrimal passage are useful methods for neonatal dacrystitis and which has no significant complications. The earlier the therapy is given, the better the effect is.
Keywords:neonatal dacrystitis   probing of lacrimal passage   scouring of lacrimal passage
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