CAJ | 학술논문

目的：探讨吸入麻醉下行泪道探通术治疗新生儿泪囊炎的临床应用价值。 　　方法：选择我院2009/2011年经门诊规范保守治疗无效的新生儿泪囊炎住院患儿116例129眼，分为两组：6～12月龄组75例86眼，＞1岁组41例43眼，术前全身检查无手术禁忌，使用七氟烷作为吸入麻醉药物，在麻醉充分后常规行泪道探通术，术中泪道冲洗通.后无需术后频繁泪道冲洗。治愈标准：无泪溢及溢脓，泪道冲洗通.；无效：溢泪或溢脓，泪道冲洗不通。 　　结果：6～12月龄组治愈率100％，＞1岁组治愈率98％，差异有统计学意义（P＜0．05）。 　　结论：七氟烷吸入麻醉下行泪道探通术具有麻醉效果好、安全性高、苏醒快、手术操作损伤小、探通成功率极高等优点，具有较高临床应用价值。
목적：탐토흡입마취하행루도탐통술치료신생인루낭염적림상응용개치。 　　방법：선택아원2009/2011년경문진규범보수치료무효적신생인루낭염주원환인116례129안，분위량조：6～12월령조75례86안，＞1세조41례43안，술전전신검사무수술금기，사용칠불완작위흡입마취약물，재마취충분후상규행루도탐통술，술중루도충세통.후무수술후빈번루도충세。치유표준：무루일급일농，루도충세통.；무효：일루혹일농，루도충세불통。 　　결과：6～12월령조치유솔100％，＞1세조치유솔98％，차이유통계학의의（P＜0．05）。 　　결론：칠불완흡입마취하행루도탐통술구유마취효과호、안전성고、소성쾌、수술조작손상소、탐통성공솔겁고등우점，구유교고림상응용개치。
AIM: To observe clinical outcomes of lacrimal passage probing in the treatment of neonatal dacryocystitis with inhalation anesthesia MEHTODS: There were 116 patients ( 129 eyes ) , with neonatal dacryocystitis from 2009 to 2011 of no improvement under conservative treatment, and were divided into two groups:75 patients (86 eyes) in 6 to 12-month-old group, 41 patients ( 43 eyes) in group at the age older than 1 year. With no surgical taboo found, sevoflurane was selected as inhalation anaesthetic. Lacrimal passage probing was operated with sufficient anaesthesia.With clear lacrimal passage washed in the operation, there was no need to wash again postoperatively.Successful cases were defined with clear lacrimal passage and absence of symptoms as epiphora and pyorrhea, while incidence of those symptoms showed treatment in vain. RESULTS: The recovery rate of 6 to 12-month-old group was 100%, while the recovery rate of group at the age older than 1 year was 97.7% The difference was statistical significance (P<0.05). CONCLUSION:Lacrimal passage probing by inhalation anesthesia in use of sevoflurane is safe and effective with fast revival, small operative injury, high successful rate of probing, and it has great clinical application value.