摘要
目的:探讨新生儿泪囊炎二次治疗的时机与探通进针的深度。方法:分析一次治疗失败的32眼新生儿泪囊炎患儿,采用二次鼻泪管探通后的治疗效果,并对一次探通成功的115眼患儿的探针进针深度进行统计。结果:由于泪道探通的有效率与年龄有关,本研究三组患儿的年龄构成差异无统计学意义(P>0.05)。按间隔时间分组,1wk以内的11只患眼中,经二次治疗有效10眼,占91%;1～2wk的13只患眼中,有效12眼,占92%;2wk以上8只患眼中,有效6眼,占75%。有效率差异有统计学意义,间隔1～2wk二次治疗的成功率最高,并发症发生率最低(P<0.05)。<3月龄患儿操作中进针深度24～26.5mm,3～7月龄26.5～28.5mm,7～12月龄28.5～30mm,12～36月龄30～32.5mm。结论:间隔1～2wk再行二次治疗的成功率最高,并发症发生率最低,是最佳治疗时机。操作中,<3月龄患儿操作中进针深度24～26.5mm,3～7月龄26.5～28.5mm,7～12月龄28.5～30mm,12～36月龄30～32.5mm。
AIM： To studythe timing of secondary treatment for neonatal dacryocystitis and the depth of the needle with probing. METHODS： The treatment effect of the second lacrimal passage after the first treatment failure was analyzed and the depth of the needle was studied. RESULTS： Due to the recovery rate of the lacrimal passage is related to age, there was no statistically significant difference in age, among the three groups （ P〉 0.05）. Divided according to timing, 10 eyes were cured by secondary treatment in less than 1 week, accounting for 91% ; 12 eyes were cured in 1-2 weeks, accounting for 92% ; 6 eyes were cured in more than 2 weeks, accounting for 75%. There was statistically significant difference in achievement ratio （P〉 0.05）. The achievement ratio was the highest and the complication ratio was the lowest in 1- 2 weeks. CONCLUSION： 1- 2 weeks is the best timing of secondary treatment.
出处
《国际眼科杂志》
CAS
2013年第4期819-821,共3页
International Eye Science
关键词
新生儿泪囊炎
二次泪道探通
治疗时机
进针深度
neonatal dacryocystitis
secondary lacrimal passage
timing of treatment
depth of the needle
