中国实用眼科杂志
中國實用眼科雜誌
중국실용안과잡지
CHINESE JOURNAL OF PRACTICAL OPHTHALMOLOGY
2013年
12期
1629-1631
,共3页
韩立坡%王凤仙%张瑜%王争%封秀蓉%刘秀平%李慧
韓立坡%王鳳仙%張瑜%王爭%封秀蓉%劉秀平%李慧
한립파%왕봉선%장유%왕쟁%봉수용%류수평%리혜
先天性泪囊突出%泪道探通%鼻窦内窥镜
先天性淚囊突齣%淚道探通%鼻竇內窺鏡
선천성루낭돌출%루도탐통%비두내규경
Congenital dacryocystocele%Probing of lacrimal passages%Endoscopic sinus
目的 探讨先天性泪囊突出的治疗手段及时机选择.方法 回顾分析2010年8月至2012年10月在保定市儿童医院就诊的23例先天性泪囊突出病例,总结先天性泪囊突出的临床表现及特征,分析先天性泪囊突出的治疗方法及时机选择.结果 23例(28只眼)先天性泪囊突出患儿,男性16例(19只眼),女性7例(9只眼),平均年龄9d,其中16例(20只眼)并发泪囊炎或蜂窝组织炎;2例(3只眼)并发呼吸窘迫.通过泪囊区按摩、泪道冲洗、患眼局部应用抗生素眼水等保守方法治愈6只眼;通过行一次泪道探通术治愈13只眼;行二次泪道探通术治愈5只眼;经鼻内窥镜直视下鼻腔内囊肿破囊治愈4只眼.结论 先天性泪囊突出患儿保守治疗具有一定的治愈率,对未并发感染的患儿,保守治疗大多奏效,但大部分患儿易并发感染,此类患儿仍需手术方能达到满意效果,早期手术干预治疗能很大程度预防严重感染等并发症发生.
目的 探討先天性淚囊突齣的治療手段及時機選擇.方法 迴顧分析2010年8月至2012年10月在保定市兒童醫院就診的23例先天性淚囊突齣病例,總結先天性淚囊突齣的臨床錶現及特徵,分析先天性淚囊突齣的治療方法及時機選擇.結果 23例(28隻眼)先天性淚囊突齣患兒,男性16例(19隻眼),女性7例(9隻眼),平均年齡9d,其中16例(20隻眼)併髮淚囊炎或蜂窩組織炎;2例(3隻眼)併髮呼吸窘迫.通過淚囊區按摩、淚道遲洗、患眼跼部應用抗生素眼水等保守方法治愈6隻眼;通過行一次淚道探通術治愈13隻眼;行二次淚道探通術治愈5隻眼;經鼻內窺鏡直視下鼻腔內囊腫破囊治愈4隻眼.結論 先天性淚囊突齣患兒保守治療具有一定的治愈率,對未併髮感染的患兒,保守治療大多奏效,但大部分患兒易併髮感染,此類患兒仍需手術方能達到滿意效果,早期手術榦預治療能很大程度預防嚴重感染等併髮癥髮生.
목적 탐토선천성루낭돌출적치료수단급시궤선택.방법 회고분석2010년8월지2012년10월재보정시인동의원취진적23례선천성루낭돌출병례,총결선천성루낭돌출적림상표현급특정,분석선천성루낭돌출적치료방법급시궤선택.결과 23례(28지안)선천성루낭돌출환인,남성16례(19지안),녀성7례(9지안),평균년령9d,기중16례(20지안)병발루낭염혹봉와조직염;2례(3지안)병발호흡군박.통과루낭구안마、루도충세、환안국부응용항생소안수등보수방법치유6지안;통과행일차루도탐통술치유13지안;행이차루도탐통술치유5지안;경비내규경직시하비강내낭종파낭치유4지안.결론 선천성루낭돌출환인보수치료구유일정적치유솔,대미병발감염적환인,보수치료대다주효,단대부분환인역병발감염,차류환인잉수수술방능체도만의효과,조기수술간예치료능흔대정도예방엄중감염등병발증발생.
Objective To discuss the treatment and the time of congenital dacryocystocele,through the analysis of clinical manifestations and characteristics of congenital dacryocystocele.Methods Retrospective analysis of congenital dacryocystocele 23 cases (28eyes) treated in our hospital from August 2010 to October 2012,to summarize the clinical manifestations and characteristics of congenital dacryocystocele and analyzed the treatment of congenital dacryocystocele and time choice.Results In 23 cases (28 eyes) of congenital dacryocystocele children,16 cases of male patients (19 eyes),7 female children (9 eyes),with an average age of 9 days,16 patients (20 eyes) with dacryocystitis or cellulitis; 2 cases (3 eyes) with respiratory distress.Six eyes were cured by dacryocyst massage,irrigation of lacrimal passage,application of antibiotic eye drops and other conservative method; 13 eyes were cured by the one probing of lacrimal passages; 5 eyes were cured by the two probing of lacrimal passages; 4 eyes were cured by nasal cyst rupture capsule.Conclusions Congenital dacryocystocele has a cure rate of conservative treatment.Concurrent infections in children need operation intervention,which can achieve satisfactory recovery effect.To a large extent,early operation treatment can prevent complications.
