国际眼科杂志
國際眼科雜誌
국제안과잡지
INTERNATIONAL JOURNAL OF OPHTHALMOLOGY
2014年
7期
1344-1347
,共4页
陈卓%许海嘉%鲜依鲆%谢碧华%唐兵华
陳卓%許海嘉%鮮依鲆%謝碧華%唐兵華
진탁%허해가%선의평%사벽화%당병화
先天性鼻泪管阻塞%泪囊鼻泪管按摩%泪道加压冲洗%鼻泪管探通术
先天性鼻淚管阻塞%淚囊鼻淚管按摩%淚道加壓遲洗%鼻淚管探通術
선천성비루관조새%루낭비루관안마%루도가압충세%비루관탐통술
congenital nasolacrimal duct obstruction%lacrimal nasolacrimal duct massage%lacrimal pressure washing%nasolacrimal duct probing surgery
目的：探讨不同年龄阶段的先天性鼻泪管阻塞的婴幼儿,在不同时期采取不同的治疗方法。<br> 方法：将87例102眼患儿分成三个不同的年龄段组：第一组：25天龄~3月龄21例26眼；第二组：>3~7月龄31例36眼；第三组：>7~24月龄35例40眼。对第一组实行泪囊鼻泪管按摩+滴眼液治疗；对第二组进行泪道加压冲洗治疗；对第三组施行鼻泪管探通术治疗。<br> 结果：第一组患儿经泪囊鼻泪管按摩+滴妥布霉素眼液治疗通畅者12眼,治愈率为46.2%；第二组患儿经泪道加压冲洗治疗通畅者33眼,治愈率为91.7%；第三组患儿经鼻泪管探通术治疗通畅者36眼,治愈率为90.0%。第二组和第三组效果明显优于第一组(χ2=15.71,P<0.01；χ2=15.27,P<0.01)；第二组和第三组治疗效果无明显差异(χ2=0.02,P>0.05)。<br> 结论：婴幼儿先天性鼻泪管阻塞应该区分年龄阶段,采取不同的治疗方法,才能获得较好的治疗效果,而泪道加压冲洗是治疗婴幼儿先天性鼻泪管阻塞的首选方式。
目的：探討不同年齡階段的先天性鼻淚管阻塞的嬰幼兒,在不同時期採取不同的治療方法。<br> 方法：將87例102眼患兒分成三箇不同的年齡段組：第一組：25天齡~3月齡21例26眼；第二組：>3~7月齡31例36眼；第三組：>7~24月齡35例40眼。對第一組實行淚囊鼻淚管按摩+滴眼液治療；對第二組進行淚道加壓遲洗治療；對第三組施行鼻淚管探通術治療。<br> 結果：第一組患兒經淚囊鼻淚管按摩+滴妥佈黴素眼液治療通暢者12眼,治愈率為46.2%；第二組患兒經淚道加壓遲洗治療通暢者33眼,治愈率為91.7%；第三組患兒經鼻淚管探通術治療通暢者36眼,治愈率為90.0%。第二組和第三組效果明顯優于第一組(χ2=15.71,P<0.01；χ2=15.27,P<0.01)；第二組和第三組治療效果無明顯差異(χ2=0.02,P>0.05)。<br> 結論：嬰幼兒先天性鼻淚管阻塞應該區分年齡階段,採取不同的治療方法,纔能穫得較好的治療效果,而淚道加壓遲洗是治療嬰幼兒先天性鼻淚管阻塞的首選方式。
목적：탐토불동년령계단적선천성비루관조새적영유인,재불동시기채취불동적치료방법。<br> 방법：장87례102안환인분성삼개불동적년령단조：제일조：25천령~3월령21례26안；제이조：>3~7월령31례36안；제삼조：>7~24월령35례40안。대제일조실행루낭비루관안마+적안액치료；대제이조진행루도가압충세치료；대제삼조시행비루관탐통술치료。<br> 결과：제일조환인경루낭비루관안마+적타포매소안액치료통창자12안,치유솔위46.2%；제이조환인경루도가압충세치료통창자33안,치유솔위91.7%；제삼조환인경비루관탐통술치료통창자36안,치유솔위90.0%。제이조화제삼조효과명현우우제일조(χ2=15.71,P<0.01；χ2=15.27,P<0.01)；제이조화제삼조치료효과무명현차이(χ2=0.02,P>0.05)。<br> 결론：영유인선천성비루관조새응해구분년령계단,채취불동적치료방법,재능획득교호적치료효과,이루도가압충세시치료영유인선천성비루관조새적수선방식。
AlM: To explore the different ages of congenital nasolacrimal duct obstruction in infants, take different treatment methods at different times. <br> METHODS:The 87 cases of 102 children were divided into three different age groups: the first group of 25d-3mo of age 21 cases 26 eyes; The second group >3mo-7mo 31 cases 36 eyes;The third group >7-24mo of age 35 cases 40 eyes. For the first group of infants, the implementation of the lacrimal sac nasolacrimal duct massage + eye drops; for the second group of infants, carry lacrimal pressure washing treatment; for the third group of infants, the implementation of the nasolacrimal duct probing treatment. <br> RESULTS: The first group of children through the nasolacrimal duct sac massage + drops tobramycin eye drops treatment unobstructed 12, the cure rate was 46. 2%;The second group of children through pressurized irrigation treatment lacrimal patency by 33, the cure rate was 91. 7%; The third group of children through the nasolacrimal duct probing unobstructed 36 treatment, the cure rate was 90. 0%. The second and third group were better than the first group (χ2=15. 71, P<0. 01;χ2=15. 27, P<0. 01);the treatment effect of the second and third groups was no significant difference (χ2=0. 02, P>0. 05). <br> CONCLUSlON:lnfants with congenital nasolacrimal duct obstruction should distinguish between ages, taking different treatments, in order to obtain a better therapeutic effect, and lacrimal pressure washing is the preferred way of treating infants with congenital nasolacrimal duct obstruction.
