上泪点进针探通新生儿泪囊炎的临床观察

目的 观察通过上泪点进针行泪道探通术在治疗新生儿泪囊炎的疗效。方法 对156例174眼门诊新生儿泪囊炎患者,在表麻下通过上泪点进针行泪道冲洗和泪道探通术。结果 本组156例、174眼中,有骨性患儿8眼,而其中7眼经2～3次探通术后冲洗通畅,有1眼由于下泪道阻力大而未成功。其余均一次探通后冲洗通畅,成功率达99.4％。随后观察2个月至2年所有探通患儿均未复发。结论 新生儿泪囊炎患儿早期发现,及时行上泪点进针泪道探通术效果良好,此法简单、实用、效果满意。

A clinical observation of probing of the upper lacrimal passage in the treatment of neonatal dacryocystitis

Obsjective To observe the curative effect of probing of the upper lacrimal passage in the treat- ment of neonatal dawcryocystitis. Methods 156 cases (174 eves) of newborn infants (out-patients) with neonatal dacryocystitis received irrigating and probing through the upper lacrimal passage under the condition of topical anesthesia. Results of all the cases, apart from 8 eyes of bong lacrimal passage of which irrigating was influently after probing at 2nd-3nd times and only 1 eye was failed because of the big obstruction of lower lacrimal passage, the irrigating of the other eyes was influently after probing at the first time (99.4%). After the operation, all the successful cases (173eyes) were followed up for 1/6-2 years and there are no cases of re- curence. Conclusion Early finding and in time treatment will get good results. It's a simple, practical and satisfied method in the treatment of neonatal dacryocytitis