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目的观察先天性泪道阻塞的自愈情况,探讨先天性泪道阻塞的干预时机。方法观察我科2005年至2008年诊断先天性鼻泪管阻塞患儿521只眼,由患儿家属双向选择,可选择观察年龄至患儿6个月,也可选择观察年龄至患儿12个月。结果选择观察至6个月患儿共325只眼,其中152(46.76%)眼自愈;选择观察至12个月患儿共196只眼,其中145(73.97%)只眼自愈。但随年龄增长,合并泪囊炎机率增加(χ2=22.73P<0.01)。结论先天性泪道阻塞是一组年龄相关性疾病,随年龄增长有自愈倾向,对于随诊条件好的患儿,只要注意预防并发症发生,可采取观察的方法,但要注意随年龄增加,探通次数和合并泪囊炎机率增加。观察年龄12个月以内为宜。
Objective To observe the situation of self-healing of congenital lacrimal duct obstruction and to explore the timing of intervention of congenital lacrimal duct obstruction. Methods 521 children with congenital nasolacrimal duct obstruction diagnosed in our department from 2005 to 2008 were selected. Their families were bi-directionally selected and their age was observed to be 6 months. Children aged 12 to 12 month. Results A total of 325 eyes were observed in 6 months. Among them, 152 eyes (46.76%) were self-healing; 196 eyes (196 eyes) were selected for observation from 12 months and 145 eyes (73.97%) were self-healing eyes. However, with age, the risk of dacryocystitis increased (χ2 = 22.73P <0.01). Conclusion Congenital lacrimal duct obstruction is a group of age-related diseases, with the tendency of self-healing with age, for children with good follow-up conditions, as long as the prevention of complications should be observed, but pay attention to increase with age , Explore the frequency and the risk of merger dacryocystitis increased. Observation of age within 12 months is appropriate.