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目的 探讨新生儿泪囊炎的最佳治疗方法。方法 回顾和总结1997年10月至1999年9月本院门诊诊治新生儿泪囊炎340例401眼。采用按摩泪囊、冲洗、探通泪道,对新生儿急性泪囊炎采取谨慎、有效的方法,防止术后并发症。结果 本组泪囊按摩治愈率占总数0.75％;泪道冲洗治愈率占总数28.93％,泪道探通占总数44.39％(占泪道探通组96.22％)。结论 新生儿泪囊炎有自愈倾向。但较长期有慢性炎症威胁角膜健康,目前最有效的治疗方法是探通泪道。
Objective To explore the best treatment of neonatal dacryocystitis. Methods From October 1997 to September 1999, 340 cases (401 eyes) of neonatal dacryocystitis diagnosed and treated in our hospital were reviewed and summarized. The use of massage lacrimal sac, irrigation, probing the lacrimal duct, acute neonatal dacryocystitis take a cautious and effective way to prevent postoperative complications. Results The cure rate of lacrimal sac in this group was 0.75%. The cure rate of lacrimal duct flushing was 28.93%, and the probing of lacrimal passage was 44.39% (accounting for 96.22% of probing group). Conclusion Neonatal dacryocystitis has a tendency of self-healing. However, long-term chronic inflammation threatens corneal health, the most effective treatment is to explore the lacrimal passage.