先天性泪囊炎的探通治疗体会

目的研究泪道探通术治疗先天性泪囊炎的疗效。方法对年龄3～15个月婴幼儿先天性泪囊炎186例（246眼），以10％水合氯醛催眠后行探通治疗，许进行疗效观察。结果先天性泪囊炎中246眼有242眼治愈（98．37％），其中1次探通治愈213眼，占治愈眼的86．58％，2次探通治愈25眼占10．16％，3次探通治愈4眼占1．63％，4眼未愈，占1．63％。术中2眼泪小管轻微撕裂，次日泪道冲洗出现眼睑水肿外，无感染或窒息等其他并发症。结论水合氯醛催眠后，泪道探通术是治疗先天性泪囊炎的一种安全、有效、并发症少的治疗方法。

Treatment of congenital dacryocystitis with probing

Objective To investigate the effects of probing of lacrimal passage on congenital dacryocystitis.Methods 246 eyes of 186 infants of 3 - 15 months old with congenital dacryocystitis were treated with probing unden chloral hydrate hypnosis. The results were observed. Results In 246 eyes of 186 infants with congenital dacryocystitis there were 242 eyes were cured. In this treatment group, the rate of success is 98. 37% , and One probing eyes(88. 02% )were performed in 242 eyes, two probings in 25 eyes( 10. 33% ) , three probings in 4 eyes ( 1. 65% ) ,2 eyes were respectively suffered from subcutaneous edema and laceration of canaliculus, but there was no baby suffered from infection or asphyxia in complication during the operations. Conclusion Probing of lacrimal passage is safe and the success rate of surgery is very high for congenital dacryocystitis with less complication after chloral hydrate hypnosis.