摘要
目的观察泪囊药物灌洗联合置管术治疗急性泪囊炎的效果。方法回顾性研究2016年1月至2018年3月收治的30例急性泪囊炎的临床资料。药物灌洗泪囊及全身应用抗生素积极控制感染后行鼻泪管探通及泪道置管术,术后定期冲洗泪道,保留3~6个月拔管,拔管后随访6个月,观察效果。结果治愈26例,治愈率为86.67%;好转3例,好转率为10.00%;无效1例,无效率为3.33%;随访再次阻塞者2例,占6.67%;治疗随访期间无眼眶蜂窝织炎或反复急性发作者。结论泪囊药物灌洗联合置管术治疗急性泪囊炎是有效的方法。
Objective To observe the effect of dacryocyst irrigation combined with lacrimal duct intubation for the treatment of acute dacryocystitis.Methods The data of 30 cases of acute dacryocystitis from Jan.2016 to Mar.2018 were analyzed retrospectively.All cases received nasolacrimal duct probing and lacrimal duct intubation after the infection was controlled by dacryocyst irrigation and systemic antibiotics.The irrigation was performed after treament regularly.The silicone stents were removed after 3- 6 months,and then followed up for at least 6 months.The efficacy was observed.Results There were 26 cases (86.67%) with a successful cure.Three cases (10.00%) improved.And 1 case (3.33%) remaind ineffective.The rate of recurrence was 6.67% during the follow-up period.No case of orbital cellulitis or acute recurrence was found during the period.Conclusion Dacryocyst irrigation combined with lacrimal duct intubation is an effective treatment for acute dacryocystitis.
作者
陈霞
孙广莉
刘方
闫磐石
Chen Xia;Sun Guangli;Liu Fang;Yan Panshi(Department of Ophthalmology,First Affiliated Hospital of Zhengzhou University,Henan Provincial Ophthalmic Hospital,Zhengzhou 450052,China)
出处
《中华眼外伤职业眼病杂志》
2018年第12期939-942,共4页
Chinese Journal of Ocular Trauma and Occupational Eye Disease
关键词
泪囊炎
急性
灌洗
泪囊
置管术
泪道
Dacryocystitis,acute
Irrigation,dacryocyst
Intubation,lacrimal duct
