新生儿泪囊炎的治疗时机和方法

目的 探讨治疗新生儿泪囊炎的最佳治疗时机和治疗方法.方法 随机选择眼科门诊2000年1月至2006年12月86例104只眼新生儿(足月)泪囊炎患儿,分为1～5月,6～12月,大于12月三组分别观察,治疗方法是按摩泪道,冲洗泪道,探通冲洗泪道.治疗时机是看患儿的实际情况,短时间保守治疗无效后,即给予泪道探通冲洗.结果 只要确诊为新生儿泪囊炎,连续冲洗2次未通畅者或冲洗后分泌物缓解,年龄1个月者可考虑行泪道探通术.泪道探通治疗新生儿洞囊炎痊愈率为93.27%.1～12月治愈率比大于12月龄的患儿高,差异有统计学意义P<0.05.结论 新生儿洞囊炎年龄越小手术治愈率越高,就诊后短期(可以小于1周)保守治疗无效,可以行泪道探通冲洗.早期探通治疗,是治愈该病的有效方法.

Treatment timing and method of neonatal dacryocystitis

Objective To explore the optimum liming and treatment method of dacryocysfitis in the newborn. Methods Randomly select 86 cases of neonatal dacryocystitis consisting of 104 eyes from the clinic of ophthalmology. They were divided into three observation age groups: 1-5 months,6-12 months,and 12 months. Treatment methods included massage, flushing, or probing and flushing of the lacrimal passage. De-pending on the patient's actual condition, if conservative measures were to no avail, probing was applied. Re-sults Consecutive attempts (twice) to flush out the discharge that causes blockages to no avail,and if in-deed,dacryocystitis is determined to be the ease,probing may considered applied to infant whose age older than 1 month. The recovery rate of probing is 93.27%. The age group of 1-12 months has a statistically signifi-cantly (P <0.05 ) higher rate of recovery than that of the 12 months. Conclusion The younger the infant, the more likely the surgery may contribute to the recovery of neonatal daeryocystitis. Conservative treatment cannot take effect (within a week),probing and flashing of the lacrimal passage can be applied. Early application of probing is an effective trcatment.