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目的观察泪道探通术治疗新生儿泪囊炎的临床效果,探讨最佳治疗时机。方法新生儿泪囊炎425例,年龄为生后4个月～2岁,其中4～5个月112例,6～8个月256例,9～11个月51例,1～2岁6例,采用泪道探通术治疗,观察术后效果。结果以不同次数治愈在不同年龄中的构成分析疗效:泪道探通术一次治愈共378例,主要系4～5个月患儿98.2%(110/112)及6～8个月患儿,占90.6%(232/256);二次治愈共38例,主要系1～2岁患儿,占33.3%(2/6)及9～11个月患儿,占19.6%(10/51);三次治愈共7例,均为9个月以上患儿;未治愈2例,均为1～2岁患儿。合计治愈423例,治愈率99.5%。结论泪道探通术治疗新生儿泪囊炎的效果与探通时的年龄有关,年龄越小,1次探通治愈率越高,治疗效果越好。
Objective To observe the clinical effect of probing of lacrimal passage on neonatal dacryocystitis and to explore the best treatment timing. Methods 425 cases of neonatal dacryocystitis, the age of 4 months to 2 years after birth, of which 4 to 5 months in 112 cases, 6 to 8 months in 256 cases, 9 to 11 months in 51 cases, 1 to 2 years 6 Cases, the use of lacrimal exploration exploration, observation of postoperative effects. The results were cured in different times at different ages in the composition of the analysis of efficacy: a probing lacrimal surgery a total of 378 cases were cured, mainly 4 to 5 months in children 98.2% (110/112) and 6 to 8 months of children, Accounting for 90.6% (232/256). The second cure was 38 cases, mainly in children aged 1-2 years, accounting for 33.3% (2/6) and 9-11 months (19.6%, 10/51) ; Three times a total of seven cases were cured, all more than 9 months in children; 2 cases were not cured, are 1 to 2 years old children. Total 423 cases were cured, the cure rate was 99.5%. Conclusions The effect of lacrimal passage exploration on neonatal dacryocystitis is related to the age at exploration. The younger the age, the higher the cure rate of one exploration is and the better the treatment is.