目的:评价加压泪道冲洗对新生儿泪囊炎的临床治疗效果。方法:在门诊治疗中对3mo以上的新生儿泪囊炎280例340眼进行泪道冲洗,随机分为2组,A组140例164眼采用常规方法冲洗,B组140例176眼进行加压泪道冲洗,对比并观察冲洗治疗效果。结果:A组冲洗1～3次通畅9眼(5.5%);冲洗4次以上通畅14眼(8.5%);需加泪道探通141眼(86.0%)。B组冲洗1～3次通畅128眼(72.7%);冲洗4次以上通畅31眼(17.6%),需加泪道探通术17眼(9.7%)。改良方法的成功率明显高于常规方法。结论:加压泪道冲洗可明显提高新生儿泪囊炎泪道冲洗成功率。

·AIM:To evaluate the clinical effect of lacrimal duct flush with an improved method in treating neonatal dacryocystitis.·METHODS:Two hundred and eighty cases(340 eyes)with neonatal dacryocystitis were treated with lacrimal duct flush between 2006 and 2009,the cases were grouped in two categories:140 cases 164 eyes in A(lacrimal duct flush)group,and 140 cases 176 eyes in B(lacrimal duct flush with an improved method)group.·RESULTS:After follow-up for 3-18 months,141 eyes 86.0% of 164 eyes were not cured by lacrimal duct flush in A group.However,there were only 17 eyes 9.7% of 176 eyes need probing in B group.·CONCLUSION:Lacrimal duct flush with an improved method is an effective method in treating neonatal dacryocystitis.·

R473.77