CAJ | 학술논문

目的探讨表麻下行泪道探通联合置管术治疗复发性新生儿泪囊炎的临床疗效。方法回顾性分析我科2010年10月至2011年5月行泪道探通联合置管术治疗复发性新生儿泪囊炎38例（46只眼）。所有患儿术前均行泪道冲洗联合妥布霉素滴眼液治疗1周以上，泪道溢泪伴脓性分泌物症状未见好转或加重。以盐酸丙美卡因作泪道局部麻醉，7号泪道探针由下泪点进入泪道探通，直径约0.6mm的毛细硅胶管套在5号泪道探针上由下泪小点置入探通的泪道，置入深度约为6-8c m，毛细硅胶管外端残留约2c m并用胶布固定于皮肤上。术后给予妥布霉素眼液点眼，同时1：1000妥布霉素生理盐水每天一次冲洗。毛细硅胶管留置约2天（6-12月龄大），拔出毛细硅胶管后行泪囊区按摩。结果38例患者(46眼)手术治愈43眼,好转3眼,无效0眼。所有患者在置管1天后溢泪明显,均无眼部刺激症状或过敏症状发生，所有患眼1周后溢泪症状均明显减轻，泪道冲洗通畅，但仍有少许分泌物。3月后所有患者均无溢泪症状，泪道冲洗通畅，无分泌物。结论表麻下行泪道探通联合置管术治疗复发性新生儿泪囊炎是一种比较简单有效且恢复较快的手术。
목적탐토표마하행루도탐통연합치관술치료복발성신생인루낭염적림상료효。방법회고성분석아과2010년10월지2011년5월행루도탐통연합치관술치료복발성신생인루낭염38례（46지안）。소유환인술전균행루도충세연합타포매소적안액치료1주이상，루도일루반농성분비물증상미견호전혹가중。이염산병미잡인작루도국부마취，7호루도탐침유하루점진입루도탐통，직경약0.6mm적모세규효관투재5호루도탐침상유하루소점치입탐통적루도，치입심도약위6-8c m，모세규효관외단잔류약2c m병용효포고정우피부상。술후급여타포매소안액점안，동시1：1000타포매소생리염수매천일차충세。모세규효관류치약2천（6-12월령대），발출모세규효관후행루낭구안마。결과38례환자(46안)수술치유43안,호전3안,무효0안。소유환자재치관1천후일루명현,균무안부자격증상혹과민증상발생，소유환안1주후일루증상균명현감경，루도충세통창，단잉유소허분비물。3월후소유환자균무일루증상，루도충세통창，무분비물。결론표마하행루도탐통연합치관술치료복발성신생인루낭염시일충비교간단유효차회복교쾌적수술。
Objective:To investigate the clinical efficacy of the lacrimal duct probing catheterization under local anesthesia for recurrent neonatal dacryocystitis.Methods:Lacrimal joint Tobramycin eye drops treatment for more than 1 weeks for all patients before surgery, the symptoms did not improve or worsen. Local anesthesia by proparacaine hydrochloride,use the 7th lacrimal probe by tears point and the diameter of about 0.6mm capillary silicone tube into the lacrima,the depth is about 6-8cm. Tobramycin eye drops and 1:1000 tobramycin saline once a day after operation. The capillary indwelling silicone tube about 2 days ( 6-12 months old ).Results:In 38 patients ( 46 eyes ) operation 43 eyes were cured, 3 improved eye, ineffective in 0 eyes.1 day shed tears; 1 weeks symptoms were significantly reduced,;after March, all patients had no symptoms.Conclusion:It is safe and effective to do the lacrimal passage joint catheter under local anesthesia for recurrent neonatal dacryocystitis.