CAJ | 학술논문

目的观察综合疗法治疗先天性泪囊炎的临床疗效.方法采用回顾性系列病例研究,对2007年1月至2012年8月在齐齐哈尔医学院第一附属医院眼科就诊的219例257只眼先天性泪囊炎患儿行泪囊按摩、加压冲洗无效即予泪道探通治疗情况进行分析.结果在257只眼中行泪囊按摩法治愈21只眼,治愈率为8.17％ (21/257);泪道加压冲洗法治愈37只眼,治愈率为14.40％ (37/257);泪道探通法治愈185只眼,治愈率为71.98％ (185/257),其中1次探通治愈173只眼,2～3次探通治愈12只眼;另有14只眼无效,占5.45％ (14/257).结论泪道探通能明显提高先天性泪囊炎的治愈率,且安全可行、应尽早为宜.
목적 관찰종합요법치료선천성루낭염적림상료효.방법 채용회고성계렬병례연구,대2007년1월지2012년8월재제제합이의학원제일부속의원안과취진적219례257지안선천성루낭염환인행루낭안마、가압충세무효즉여루도탐통치료정황진행분석.결과 재257지안중행루낭안마법치유21지안,치유솔위8.17％ (21/257);루도가압충세법치유37지안,치유솔위14.40％ (37/257);루도탐통법치유185지안,치유솔위71.98％ (185/257),기중1차탐통치유173지안,2～3차탐통치유12지안;령유14지안무효,점5.45％ (14/257).결론 루도탐통능명현제고선천성루낭염적치유솔,차안전가행、응진조위의.
Objective To evaluate the clinical efficacy of combination therapy on neonatal daeryocystitis.Methods A retrospective case series study.A total of 219 outpatients (257 eyes) with neonatal dacryocystitis were selected from January 2007 to August 2012 in the department of ophthalmology,the first affiliated hospital of Qiqihar medical college.The probing of lacrimal passage was performed which were ineffective in lacrimal sac and pressure washing,and treatment conditions were analyzed.Results Of 257 eyes,lacrimal sac massage cured 21 eyes,the cure rate was 8.17％ (2 1/257); lacrimal passage pressure washing cured 37 eyes,the cure rate was 14.40％ (37/257); probing of lacrimal passage cured 185 eyes,the cure rate was 71.98％ (185/257),in which 173 eyes cured with once probing,12 eyes cured with 2-3 probing; 14 eyes were ineffective and the rate was 5.45％ (14/257).Conclusions Probing of lacrimal passage can significantly improve the cure rate of neonatal dacryocystitis,which is safe and feasible and should be performed earlier.