CAJ | 학술논문

目的探讨先天性鼻泪管阻塞泪道探通的时机以及基础麻醉下泪道探通的安全性和有效性.方法回顾性分析先天性鼻泪管阻塞泪道探通术1018例(1070眼).根据年龄分为6～8月龄,9 ～12月龄和13 ～18月龄3组.其中门诊患儿常规局麻下探通,住院患儿基础麻醉下探通.分析泪道探通效果和并发症发生情况.结果随访3月后统计:6 ～8月龄组398眼,386眼有效,有效率96.98％;9～ 12月龄组295眼,283眼有效,有效率95.93％;13 ～18月龄组377眼,362眼有效,有效率96.02％,3组间有效率两两比较差异无统计学意义(P＞0.05).表面麻醉组有效率96.00％,基础麻醉组有效率96.73％,两组间有效率差异无统计学意义(x2=0.4064,P=0.5238).但大月龄组(13 ～ 18月龄组)基础麻醉有效率优于局麻者,两者间差异有统计学意义(x2=4.457,P=0.0348).并发症:局麻组发生率11.09％,基础麻醉组发生率2.31％,两组之间有统计学意义(x2 =32.437,P＜0.0001).结论基础麻醉下泪道探通并发症少,大月龄(＞12月)患儿有效率高.
목적 탐토선천성비루관조새루도탐통적시궤이급기출마취하루도탐통적안전성화유효성.방법 회고성분석선천성비루관조새루도탐통술1018례(1070안).근거년령분위6～8월령,9 ～12월령화13 ～18월령3조.기중문진환인상규국마하탐통,주원환인기출마취하탐통.분석루도탐통효과화병발증발생정황.결과 수방3월후통계:6 ～8월령조398안,386안유효,유효솔96.98％;9～ 12월령조295안,283안유효,유효솔95.93％;13 ～18월령조377안,362안유효,유효솔96.02％,3조간유효솔량량비교차이무통계학의의(P＞0.05).표면마취조유효솔96.00％,기출마취조유효솔96.73％,량조간유효솔차이무통계학의의(x2=0.4064,P=0.5238).단대월령조(13 ～ 18월령조)기출마취유효솔우우국마자,량자간차이유통계학의의(x2=4.457,P=0.0348).병발증:국마조발생솔11.09％,기출마취조발생솔2.31％,량조지간유통계학의의(x2 =32.437,P＜0.0001).결론 기출마취하루도탐통병발증소,대월령(＞12월)환인유효솔고.
Objective To investigate the operation time and safety of lacrimal passage probing under the basal anesthesia for congenital nasolacrimal duct obstruction.Methods 1018 cases (1070 eyes) with congenital nasolacrimal duct obstruction aged 6 months to 18 months were treated by lacrimal passage probing in our hospital and the data of them were respectively analyzed.All the cases were divided into three groups according to age:6 months to 8 months,9 months to 12 months,and 13 months to 18 months.The outpatients underwent conventional probing of lacrimal passage,and inpatients underwent lacrimal passage probing under basal anesthesia.The efficacy and complications of the surgery were analyzed.Results After following up for 3 months,the efficacy of lacrimal passage probing in 3 groups were 96.98％ (386 eyes in 398 eyes,95.93％ (283 eyes in 295 eyes),and 96.02％ (362 eyes in 377 eyes) respectively,there was no statistically significant difference among three groups (P ＞ 0.05).The effective rate of local anesthesia group was 96.00％ (528/550) and the effective rate of basic anesthesia group was 96.73％ (503/520).Between the two groups there was no statistically significant difference (x2 =0.4064,P =0.5238),but in 13 months to 18 months group,the effective rate of basal anesthesia was higher than that of local anesthesia and the difference was statistically significant (x2 =4.457,P =0.0348).Complications:The incidence rate of complications in local anesthesia group and basic anesthesia group was 11.09％ and 2.31％ respectively,and there was statistically significant difference between two groups (x2 =32.437,P ＜ 0.0001).Conclusion Lacrimal passage probing under the basal anesthesia is easy to perform and less complications.and it has high curative rate for children over 12 months.