CAJ | 학술논문

目的研究婴幼儿泪道探通术在治疗新生儿泪囊炎中的风险.方法对过去10年中施行的婴幼儿泪道探通术的术式、探通次数及探通时间进行回顾性分析,探讨以上因素与泪道探通术并发症发生率之间的关系.结果泪道探通2771例3163眼.治愈2715例3101眼,治愈率为98.04％,共出现假道及下泪点撕裂等并发症36例36眼,并发症总发生率1.14％.冲洗式探通者并发症发生率低于非冲洗式探通者,差异有统计学意义.探通1次并发症发生率低于探通2次者,差异有统计学意义.在6个月龄及以前实施探通者并发症发生率低于6个月以后者,差异有统计学意义.结论泪道探通术治疗新生儿泪囊炎虽有一定风险,但有较高治愈率,严格操作步骤可以避免或减少并发症的出现.
목적 연구영유인루도탐통술재치료신생인루낭염중적풍험.방법 대과거10년중시행적영유인루도탐통술적술식、탐통차수급탐통시간진행회고성분석,탐토이상인소여루도탐통술병발증발생솔지간적관계.결과 루도탐통2771례3163안.치유2715례3101안,치유솔위98.04％,공출현가도급하루점시렬등병발증36례36안,병발증총발생솔1.14％.충세식탐통자병발증발생솔저우비충세식탐통자,차이유통계학의의.탐통1차병발증발생솔저우탐통2차자,차이유통계학의의.재6개월령급이전실시탐통자병발증발생솔저우6개월이후자,차이유통계학의의.결론 루도탐통술치료신생인루낭염수유일정풍험,단유교고치유솔,엄격조작보취가이피면혹감소병발증적출현.
Objective To evaluate the risk facors in probing of lacrimal passage for neonatal dacryocystitis.Methods A retrospective study was done to analyze different operations,number of times and timing of operation in probing of lacrimal passage in the past ten years.The relationship between the factors described above and the incidence of complications was discussed.Results In 3163 eyes of 2771 cases,3101 eyes of 2715 cases were cured,the success rate was 98.04％.There were 36 eyes of 36 cases complicated with false passage or laceration of inferior lacrimal punctum.The incidence of complication was 1.14％.The patients treated with probing by lacrimal duct flushing had a lower frequence of complication than the patients treated by probing without duct flushing.The difference was statistically significant.The incidences of complications with once probing were lower than those with twice probing.Compared with the patients under six months of age,the patients more than six months had a higher complicaton rate.The difference had a statistical significance.Conclusion Probing of lacrimal passsage has high success rate for neonatal dacryocystitis.Strict operating procedures can avoid the risk factors and reduce or eliminate the complication.