不同泪道冲洗液联合不同术式治疗婴幼儿泪囊炎的疗效对比

发布时间：2018-03-23 04:30

  本文选题：激素性或非激素性眼液　切入点：上泪小点　出处：《眼科新进展》2015年04期 　论文类型：期刊论文

【摘要】：目的对比分析自上泪小点或下泪小点不同的手术进针方式进行泪道探通,及术中应用含激素性或非激素性眼液进行泪道冲洗对婴幼儿泪囊炎的疗效。方法选取我院婴幼儿泪囊炎患者771例(1064眼),按年龄分为3组:7 d~1岁组(632眼),1~2岁组(268眼),2~4岁组(164眼);按不同的手术进针方式分为2组:上泪小点组和下泪小点组;按不同泪道冲洗液分为2组:含激素性冲洗液和非含激素性冲洗液。观察各组疗效情况。结果 7 d~1岁组、1~2岁组、2~4岁组患儿治愈率分别为97.5%、85.4%和36.6%,各组间差异均有统计学意义(均为P0.05)。7 d~1岁组上泪小点术式治愈率为99.1%,显著高于下泪小点术式的95.9%,差异有统计学意义(P=0.020);1~2岁组上泪小点术式治愈率为92.5%,显著高于下泪小点术式的78.4%,差异有统计学意义(P=0.002);2~4岁组使用含激素性泪道冲洗液治愈率为53.3%,显著高于使用非含非激素性泪道冲洗液的16.2%,差异有统计学意义(P=0.000)。结论婴幼儿泪囊炎随着患儿年龄的增长,泪道探通的治愈率逐渐降低;上泪小点术式泪道探通术更适合于≤2岁的婴幼儿泪囊炎患者;激素性泪道冲洗液更适合于2~4岁的婴幼儿泪囊炎患者。
[Abstract]:Objective to compare and analyze the different surgical methods of lacrimal passage exploration from the upper or lower lacrimal dots. The effect of intraoperative lacrimal passage irrigation with steroidal or nonhormonal eye fluid on dacryocystitis in infants and children was studied. Methods 771 cases of infant dacryocystitis were divided into 3 groups according to their age: 632 eyes of 1 year old group and 268 eyes of 2 year old group. 164 eyes of 4 years old group were divided into 2 groups according to different operative needle ways: upper lacrimal dot group and lower lacrimal dot group; According to the different lacrimal passage flushing fluids, they were divided into two groups: steroid-containing irrigation fluid and non-hormonal irrigation solution. The curative effect was observed in each group. Results the cure rate of 7D group was 97.5% and 36.6% respectively, and the cure rate was 97.5% and 36.6%, respectively. The cure rate of the upper lacrimal dot was 99.1 in the group of 1 year old, which was significantly higher than that in the group of the lower point of lacrimal tear. The difference was statistically significant, and the cure rate of the group of 2 years old was 92.5, which was significantly higher than that of 78.4% of the group of the small point of the lower tear. The cure rate of steroid-containing lacrimal passage flushing was 53.3, which was significantly higher than that of non-steroidal lacrimal duct irrigation (16.2g), and the difference was statistically significant (P < 0.01). Conclusion Dacryocystitis of infants and children increases with age. The cure rate of lacrimal passage exploration decreased gradually, the upper lacrimal dacryocystitis operation was more suitable for the infants with dacryocystitis 鈮，

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