泪道探通术治疗不同年龄新生儿泪囊炎疗效探讨

Clinical effect of probing of lacrimal passage for treatment of neonatal dacryocystitis at different ages

摘要:

目的:探讨泪道探通术治疗新生儿泪囊炎不同年龄患儿的疗效。方法:收集2009-11/2010-09我科门诊行泪道探通的患儿532例590眼,其中男321例358眼,女211例232眼,年龄3～48月龄,所有患儿均表面麻醉下行泪道探通术。结果:三组患儿比较,3～6月龄患儿共456眼,442眼治愈(96.9%),7～12月龄组共95眼,83眼治愈(87.4%),13月龄以上组39眼,探通成功率为82.1%,组间比较1组和2组,1组和3组间有显著性差异(χ2=15.986和19.578,均P<0.05),而7～12月龄组与13月龄以上组间比较无显著性差异(χ2=0.642,P>0.05)。结论:泪道探通术是治疗先天性泪囊炎的安全有效的方法,3～6月龄是最佳探通时机。

Abstract:

AIM:To observe clinical effect of probing of lacrimal passage for treatment of neonatal dacryocystitis with different age.METHODS:Probing of lacrimal passage in surface anesthesia was performed in 532 infants 590 eyes from November 2009 to September 2010 in our department of ophthalmology,including male 321(358 eyes),female 211(232 eyes),aged from 3 months to 48 months.RESULTS:Totally 456 eyes received the operation in group 1(aged from 3 months to 6 months)and 442 eyes were cured(96.9%);95 eyes received the operation in group 2(aged from 2 months to 12 months)and 83 eyes were cured(87.4%);39 eyes were in 3 group(age≥13 months)and success rate of the operation was 82.1%.There was significant difference between group 1 and group 2,group 1 and group 3(P<0.05,χ2=15.986,χ2=19.578 respectively)while there was no significant difference between group 2 and group 3(χ2=0.642,P>0.05).CONCLUSION:Probing of lacrimal passage is an effective treatment for neonatal dacryocystitis and the best time for probing of the lacrimal passage is 3-6 months after birth.