CAJ | 학술논문

目的:根据患儿年幼、头部易摆动、针头难固定易滑脱、组织娇嫩、不宜探针反复进出泪道操作等特点,探讨新型泪道探通针治疗婴幼儿先天性泪道阻塞(nasolacrimal duct obstruction,NLDO)的临床疗效.方法:用新型泪道探通针对眼科门诊2 568例2 771眼先天性NLDO患者进行泪道探通,并观察疗效.结果:所有患者手术成功,其中一次探通成功2 722眼(98.23%),二次探通成功49眼(1.77%),除极少数患儿有轻度眼睑水肿外,无任何严重并发症发生.结论:新型泪道探通针设计合理、操作方便、安全实用,对泪道无损伤、独立包装、消毒彻底、能避免交叉感染、价格低廉、临床应用效果良好,尤其适合婴幼儿患者,值得推广使用.
목적:근거환인년유、두부역파동、침두난고정역활탈、조직교눈、불의탐침반복진출루도조작등특점,탐토신형루도탐통침치료영유인선천성루도조새(nasolacrimal duct obstruction,NLDO)적림상료효.방법:용신형루도탐통침대안과문진2 568례2 771안선천성NLDO환자진행루도탐통,병관찰료효.결과:소유환자수술성공,기중일차탐통성공2 722안(98.23%),이차탐통성공49안(1.77%),제겁소수환인유경도안검수종외,무임하엄중병발증발생.결론:신형루도탐통침설계합리、조작방편、안전실용,대루도무손상、독립포장、소독철저、능피면교차감염、개격저렴、림상응용효과량호,우기괄합영유인환자,치득추엄사용.
·AIM:To study the clinical effect of a new type of probe to treat congenital nasolacrimal duct obstruction(NLDO) according to the characteristics of the infant, such as age, head not being easily fixed, tissue tenderness and not suitable for manipulation repeatedly. ·METHODS:All 2 568 infants(2 771 eyes) who have congenital NLDO Received probing of lacrimal passages with the new type probing needle and were observed in the clinic service. ·RESULTS: All eyes could be probed successfully, especially 2 722 eyes (98.23%) could be probed successfully one time and 49 eyes (1.77%) were two times. There were not any severe complications but gentle palpebral edema. ·CONCLUSION: New one-time probing needle which are reasonable designed are convenient, safe and practical to use. They have no hurt to lacrimal passage. At the same time, they can be packed and sterilized independently to avoid cross contamination. This new type, low price needle which is particularly suitable for infant has good therapeutic effect and deserves to be spread to use.