鼻内镜造袋术与泪道探通术治疗先天性泪囊突出的疗效对比研究

目的对比鼻内镜造袋术与泪道探通术治疗先天性泪囊突出的疗效。方法30例（33眼）确诊先天性泪囊突出的新生儿，男性20例（22眼）、女性10例（11眼）。随机分为A、B两组，每组15例，A组实施鼻内镜造袋术、B组实施泪道探通术分别进行治疗。术后随访至1年，比较两组疗效、并发症发生率及再手术率。结果接受鼻内镜下造袋术治疗组患儿治愈率100％，并发症发生率6。7％，无再手术病例。接受泪道探通术治疗组的患儿治愈率93．3％，并发症发生率20％，再手术率33．3％。结论鼻内镜下囊肿造袋术较泪道探通术治疗先天性泪囊突出具有更好的疗效和安全性。

Comparisons of the curative effect of endoscopic marsupialization and lacrimal duct probing on congenital dacryocystocele

Objective To compare the curative effect of endoscopic marsupialization and lacrimal duct probing on congenital dacryocystocele. Methods Thirty newborns （33 eyes） who were diagnosed as congenital dacryocystocele were concluded in the study. They were comprised of 20 males （22 eyes） and 10 females （1l eyes）. All patients were randomly divided into two groups as Group A and Group B. Group A accepted the treatment of endoscopic marsupialization and Group B got the acrimal duct probing treatment. Patients were followed up for 1 year. The curative effect, the incidence of complications and reoperation rate were compared between the two groups. Results In Group A, the curative rate was 100%, the incidence of complication rate was 6.7% and there was no reoperation case. In Group B, the curative rate was 93.3%, the incidence of complication rate was 20% and the reoperation rate was 33.3%. Conclusions The efficacy of endoscopic marsupialization on congenital dacryocystocele was better than lacrimal duct probing and the security was more outstanding.