CAJ | 학술논문

目的：比较上泪小点进针和下泪小点进针行泪道探通术治疗新生儿泪囊炎的治疗效果。 　　方法：选取2006-01/2013-01在我院门诊就诊的262例286眼经保守治疗2 wk无效的新生儿泪囊炎患儿作为本次的观察对象；按数字表法随机分为A，B两组，其中A组133例149眼从上泪小点进针行泪道探通，B组129例137眼从下泪小点进针行泪道探通，比较两种方法的治疗效果及并发症，并随访1 mo。 　　结果：A组治愈率98．7％；B组治愈率93．4％；A组并发症发生率少于 B 组；两组比较差异具有统计学意义（P＜0.05）。 　　结论：从上泪小点进针行泪道探通术对新生儿泪囊炎的治疗效果优于从下泪小点进针行泪道探通术，且减少泪小管撕裂、假道及泪道继发性粘连等并发症的发生率。
목적：비교상루소점진침화하루소점진침행루도탐통술치료신생인루낭염적치료효과。 　　방법：선취2006-01/2013-01재아원문진취진적262례286안경보수치료2 wk무효적신생인루낭염환인작위본차적관찰대상；안수자표법수궤분위A，B량조，기중A조133례149안종상루소점진침행루도탐통，B조129례137안종하루소점진침행루도탐통，비교량충방법적치료효과급병발증，병수방1 mo。 　　결과：A조치유솔98．7％；B조치유솔93．4％；A조병발증발생솔소우 B 조；량조비교차이구유통계학의의（P＜0.05）。 　　결론：종상루소점진침행루도탐통술대신생인루낭염적치료효과우우종하루소점진침행루도탐통술，차감소루소관시렬、가도급루도계발성점련등병발증적발생솔。
AIM: To compare the therapeutic effect of lacrimal probing through upper and lower lacrimal punctum in neonatal dacryocystitis. METHODS: Totally, 262 cases ( 286 eyes ) of neonatal dacryocystitis which failed in a two-week conservative treatment were selected from January 2006 to January 2013 in our outpatient department.They were randomly divided into Group A and Group B.Then, 133 cases ( 149 eyes) in Group A received lacrimal probing through upper lacrimal punctum, and 129 cases ( 137 eyes ) in Group B received lacrimal probing through lower lacrimal punctum.The patients were followed up for one month and therapeutic effect and incidence of complications of the two methods were compared. RESULTS:The cure rate of was 98.7% in Group A and 93.4%in Group B.The incidence of the complications in Group A was lower than that of Group B.The differences between the two groups were significant (P<0.05). CONCLUSION:Lacrimal probing through upper lacrimal punctum in neonatal dacryocystitis is more effective than probing through lower lacrimal punctum, and it has a lower incidence of complications including lacrimal tear, false passage and secondary adhesion.