目的:探讨新生儿泪囊炎行泪道探通术的手术时机及其安全性。方法:采用回顾性系列病例研究,对2009-01/2010-06在我院门诊就诊的137例165眼新生儿泪囊炎治疗情况进行分析。结果:本研究137例165眼,患儿年龄≤3月龄者64眼,其中加压探通治愈16眼,1次探通治愈48眼;～6月龄者68眼,其中加压冲洗治愈4眼,1次探通治愈62眼,2次探通治愈1眼,1例1眼未随诊;～12月龄者24眼,1次探通治愈12眼,2次探通治愈8眼,3次探通治愈2眼,未随诊2例2眼;～18月龄者9眼,其中1次探通治愈6眼,2次探通治愈3眼。结论:新生儿泪囊炎患者,若患儿身体发育正常,年龄>2月龄者应尽早行泪道探通术,且安全可行。

AIM:To evaluate the timing of operation and safety of probing of lacrimal passage in neonatal dacryocystitis.METHODS:A retrospective case series study.137 out-patients(165 eyes) with neonatal dacryocystitis were selected from January 2009 to June 2010 in our hospital,and treatment conditions were analyzed.RESULTS:In this study,of the 137 cases of 165 eyes,64 eyes were in children with age≤3 months,in which 16 eyes cured with pressure probing,48 eyes cured with probing one time ;68 eyes were in children with age 3-6 months,in which 4 eyes cured with pressure washing,62 eyes cured with once probing,1 eye cured with twice probing,1 case(1 eye) was not followed up;24 eyes was in children with age of 6-12 months,in which 12 eyes cured with once probing,8 eyes cured with twice probing,2 eyes cured with 3 times probing,2 cases(2 eyes) were not followed up;9 eyes was in children with age of 12-18 months,in which 6 eyes cured with once probing,3 eyes cured with twice probing.CONCLUSION:In neonatal dacryocystitis patients with normal physical development,aged above 2 months,probing of lacrimal passage should be performed as soon as possible which is also safe and feasible.

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