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目的:探讨新生儿泪囊炎泪道冲洗和探通时机及成功的相关因素。方法:选择我院眼科门诊0-60个月496例新生儿泪囊炎病例。根据儿童年龄分为0～3月组,4～12月组,13～60月组。患儿行按摩治疗无效后分三组行泪道加压冲洗3-4次,不通患儿按年龄继续分三组行泪道探通术。治愈标准为无泪溢,无分泌物,泪道冲洗通畅。术后仍流泪,伴分泌物泪道冲洗畅者为无效。结果:0～3个月治愈率(94.71%),4～12个月治愈率(84.90%),13～60个月治愈率(71.15%)。三组比较,患儿年龄越小冲洗及探通成功率越高,差异有统计学意义,(p<0.01)。结论:新生儿泪囊炎,年龄越小,泪道冲洗及探通成功率越高,冲洗2周以上无效者应该尽早行探通术。
Objective: To investigate the timing and success factors of neonatal lacrimal sac lacrimal duct lacrimal flow. Methods: 496 cases of neonatal dacryocystitis were selected in Ophthalmology Clinic of our Hospital from 0 to 60 months. According to children’s age is divided into 0 to March group, 4 to December group, 13 to 60 months group. Pediatric massage therapy is invalid after three groups of lacrimal duct pressure wash 3-4 times, unreasonable children by age continue to divide into groups three lines of lacrimal duct exploration. No cure for tears overflow, no secretions, lacrimal duct wash unobstructed. Tears are still after surgery, with secretion of lacrimal duct flushing were invalid. Results: The cure rate of 0 ~ 3 months was 94.71%, the cure rate of 4 ~ 12 months was 84.90%, and the cure rate of 13 ~ 60 months was 71.15%. Compared with the three groups, the higher the success rate of flushing and exploration, the difference was statistically significant (P <0.01). Conclusion: The neonatal dacryocystitis, the younger, the higher the success rate of lacrimal duct flushing and exploration, flushing more than 2 weeks ineffective should explore the line as soon as possible.