泪道探通加冲洗治疗婴幼儿泪囊炎的临床研究

目的:研究泪道探通加冲洗治疗婴幼儿泪囊炎的临床疗效。方法:采用7号腰穿针自制的泪道探通冲洗器,黏膜麻醉后,止动。充分扩张泪小点后,将泪道探通冲洗器按常规探通术,由泪小点,泪小管,泪总管,泪囊,穿破隔膜及泪鼻管后,拔出针芯,接冲2g/L盐酸左氧氟沙星冲洗液,边退边冲,患儿出现吞咽动作或呛咳出冲洗液为度。结果:采用此方法治疗婴幼儿泪囊炎33例33眼均为一次性通畅。再次行泪道冲洗者5例5眼(15%),均为一次性治愈。结论:采用泪道探通加冲洗治疗婴幼儿泪囊炎,方法简便、省时,损伤小,疗效快捷,方便,患儿家属易接受。是目前治疗该病症的好方法。

Clinical research of probing of lacrimal passage and irrigating to treat infant dacryocystitis

AIM:To research the clinical effect of probing of lacrimal passage and irrigating to treat infant dacryocystitis.·METHODS:Using the No.7 waist puncture needle self-made lachrymal conduit probing and irrigating appliance.After mucous membrane anaesthesia,the patients were stopped moving.According to routine probing operation,after puncta sufficient dilating,lachrymal conduit probing and irrigating appliance was drilled through lacrimal puncta,canaliculi,lacrimal sac,membrane and nasolacrimal duct.After the needle core was pulled out,the patients were irrigated with 2g/L levofloxacin rinse liquid until the infant appearred swallowing action or choking rinse liquid.·RESULTS:Lacrimal passages of 33 cases(eyes)with dacryocystisis were unobstructed after treatment all at once.5 cases(15%)were cured for one time.·CONCLUSION:Probing of lacrimal passage and irrigating to treat infant dacryocystitis is simple,time-saving,of little damage,better treating effect,convenience and easy acceptance by infant’s dependents,and is a good method for the treatment of this disease at present.