医学研究与教育 ›› 2015, Vol. 32 ›› Issue (2): 47-49.

• 临床研究 • 上一篇    下一篇

泪道探通术治疗先天性泪囊突出病例分析

王凤仙,韩立坡,张瑜,刘振坡,张建利,刘秀平,王争   

  1. 保定市儿童医院,河北 保定 071051
  • 收稿日期:2015-06-12 修回日期:2015-06-12 出版日期:2015-04-25 发布日期:2015-04-25
  • 作者简介:王凤仙(1977—),女,河北保定人,副主任医师,主要从事儿童眼病诊治。E-mail: 63522464@qq.com

Case analysis on the treatment of congenital dacryocystocele by probing of lacrimal passage

WANG Fengxian, HAN Lipo, ZHANG Yu, LIU Zhenpo, ZHANG Jianli, LIU Xiuping, WANG Zheng   

  1. Baoding Children’s Hospital, Baoding 071051, China
  • Received:2015-06-12 Revised:2015-06-12 Online:2015-04-25 Published:2015-04-25

摘要: 目的 通过分析先天性泪囊突出的临床表现及特征,探讨泪道探通治疗先天性泪囊突出的临床效果及时机选择。 方法 回顾分析 2011 年 6 月至 2013 年 6 月就诊于保定市儿童医院的 18 例(20 眼)先天性泪囊突出病例,总结先天性泪囊突出的临床特点,分析泪道探通治疗保守无效的先天性泪囊突出的临床效果及手术时机。 结果 18 例(20 眼)先天性泪囊突出患儿,男性患儿 10 例(11 眼),女性患儿 8 例(9 眼),平均年龄 10.6 d。通过泪囊区按摩、泪道冲洗、患眼局部应用抗生素眼药水等保守方法治疗,治愈 6 眼,保守治疗无效者行泪道探通术;经一次泪道探通术治愈的患眼为 12 眼;经二次泪道探通治愈的患眼为 2 眼。 结论 对保守治疗无效的先天性泪囊突出患儿行泪道探通治疗能达到满意恢复效果,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。

关键词: 先天性泪囊突出, 泪道探通, 泪道冲洗

Abstract: 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 18cases (20 eyes) treated in our hospital from June 2011 to June 2013 were conducted to summarize the clinical manifestations and characteristics of congenital dacryocystocele and analyze the treatment of congenital dacryocystocele and time choice. Results In 18 cases (20 eyes) of congenital dacryocystocele children, 10 cases of male patients (11 eyes), 8 female children (9 eyes), with an average age of 10.6 days. 6 eyes were cured by dacryocyst massage, irrigation of lacrimal passage, application of antibiotic eye drops and other conservative method. 12 eyes were cured by the one probing of lacrimal passages. 2 eyes were cured by the two probing of lacrimal passages. Conclusion Probing of lacrimal passage can be used to treat congenital dacryocystocele. To a large extent, early operation treatment can prevent severe complications.

Key words: congenital dacryocystocele, probing of lacrimal passages, syphilis of lacrimal passages

中图分类号: