CAJ | 학술논문

目的：探讨 Ritleng 泪道插管术治疗儿童结膜炎继发泪道阻塞的疗效。方法回顾性分析因结膜炎导致继发性泪道阻塞的患儿39例（42只眼）。所有患儿均行 Ritleng 泪道插管术，术后3-6个月拔管，并在拔管后1个月进行随访。以泪道冲洗和 DDT 检查结果最终确定其术后效果。结果患儿39例（42眼）成功置管，拔管后30眼治愈（71％）：泪道冲洗通畅，无流泪症状，DDT 试验阴性；4眼(10％)好转：患儿偶有流泪症状，泪道冲洗存在阻力，DDT 可疑阳性；8眼(19％)无效：拔管后，冲洗泪道不通畅，仍有分泌物、有流泪症状。DDT 阳性。所有患儿42只眼中，共14眼单纯性阻塞，包括4眼为泪小点闭锁；泪小管阻塞为6眼；鼻泪管阻塞有4眼。单纯性阻塞中12眼治愈；1眼好转、1眼无效；共28眼复杂性阻塞，其中18眼治愈，3眼好转，7眼无效。结论对于结膜炎引起的儿童泪道阻塞，Ritleng 泪道插管术存在一定效果，通过该手术可以减少由于未及时手术治疗而出现的不利因素，提高手术成功率。
목적：탐토 Ritleng 루도삽관술치료인동결막염계발루도조새적료효。방법회고성분석인결막염도치계발성루도조새적환인39례（42지안）。소유환인균행 Ritleng 루도삽관술，술후3-6개월발관，병재발관후1개월진행수방。이루도충세화 DDT 검사결과최종학정기술후효과。결과환인39례（42안）성공치관，발관후30안치유（71％）：루도충세통창，무류루증상，DDT 시험음성；4안(10％)호전：환인우유류루증상，루도충세존재조력，DDT 가의양성；8안(19％)무효：발관후，충세루도불통창，잉유분비물、유류루증상。DDT 양성。소유환인42지안중，공14안단순성조새，포괄4안위루소점폐쇄；루소관조새위6안；비루관조새유4안。단순성조새중12안치유；1안호전、1안무효；공28안복잡성조새，기중18안치유，3안호전，7안무효。결론대우결막염인기적인동루도조새，Ritleng 루도삽관술존재일정효과，통과해수술가이감소유우미급시수술치료이출현적불리인소，제고수술성공솔。
Objective This study evaluates the clinical efficacy of silicone intubation using the Ritleng method in children with acquired nasolacrimal duct obstruction (NLDO) after conjunctivitis. Methods In this study, we reviewed 39 cases (42 eyes) of acquired nasolacrimal duct obstruction secondary to conjunctivitis. The Ritleng method was used for lacrimal intubation in all of 42 eyes. The silicone tubes were removed after 3 to 6 months. One month later, children were followed up. we evaluated the effectiveness of the operation by dye disappeamnce test (DDT) and nasolacrimal duct irrigation. Results 42 eyes of 39 patients were placed siliconeduct successfully. 30 eyes (71%) were cured (dacryorrhea disappeared, lacrimal patency, DDT-) ;4 eyes were improved (lacrimal patency with some resistance and sometimes tearing, DDT±) , and 8 eyes were ineffective (lacrimal was not smooth and tearing a-gain, DDT﹢) . 14 eyes in all of 42 eyes were simple obstruction: atresia of puncta were found in 4 eyes, obstruction of canaliculi were found in 6 cases, distal nasolacrimal duct obstruction were found in 4 cases. At last, 12 eyes were suc-cessful, 1 was improved, 1 was ineffective. Another 28 eyes are complicated obstruction: 18 successful, 3 improved and 7 ineffective. Conclusions Silicone intubations with the Ritleng intubation system for acquired nasolacrimal duct ob-struction of children is an easy procedure that yields a efficient rate of success.Negative factors of the delayed operation are reduced.