CAJ | 학술논문

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.
목적 탐토치료신생인루낭염적최가치료시궤화치료방법.방법 수궤선택안과문진2000년1월지2006년12월86례104지안신생인(족월)루낭염환인,분위1～5월,6～12월,대우12월삼조분별관찰,치료방법시안마루도,충세루도,탐통충세루도.치료시궤시간환인적실제정황,단시간보수치료무효후,즉급여루도탐통충세.결과 지요학진위신생인루낭염,련속충세2차미통창자혹충세후분비물완해,년령1개월자가고필행루도탐통술.루도탐통치료신생인동낭염전유솔위93.27%.1～12월치유솔비대우12월령적환인고,차이유통계학의의P<0.05.결론 신생인동낭염년령월소수술치유솔월고,취진후단기(가이소우1주)보수치료무효,가이행루도탐통충세.조기탐통치료,시치유해병적유효방법.
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.