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目的探讨泪道探通联合留置探针治疗复杂泪道阻塞的疗效和可行性。方法对复杂泪道阻塞的患儿采用一体式冲洗探通针头行泪道探通联合留置探针的方法,探针留置30min～2h。结果探通+留置探针治疗103眼,总治愈率为90.3%。其中单纯鼻泪管下段阻塞治愈率为100%,上段和/或中段阻塞治愈率为82.6%,下段+上和/或中段阻塞治愈率为88.9%,膜性阻塞治愈率为93.9%,骨性阻塞治愈率为76.2%。随着患儿年龄增大,治愈率下降。结论泪道探通+留置探针是治疗复杂性先天性泪道阻塞(包括阻塞部位较多、多次单纯探通失败、鼻泪管发育畸形、狭窄夹针、轻度鼻泪管下段骨性阻塞)的一种较好的方法,所需时间短,疗效快。
Objective To investigate the efficacy and feasibility of lacrimal passage probing combined with indwelling probe in the treatment of complicated lacrimal duct obstruction. Methods For children with complicated lacrimal duct obstruction, one-way flushing probe was used to probe lacrimal passage combined with indwelling probe. The probe was kept for 30min ~ 2h. Results Exploration + indwelling probe treatment of 103 eyes, the total cure rate was 90.3%. Among them, the cure rate of simple nasolacrimal duct obstruction was 100%, the upper and / or middle obstruction was 82.6%, the lower + upper and / or middle obstruction was 88.9%, the rate of membranous obstruction was 93.9% Obstruction cure rate was 76.2%. As children age, the cure rate drops. Conclusion Prolapse of lacrimal duct + indwelling probe is the treatment of complications of congenital lacrimal duct obstruction (including more obstructive sites, many simple probe failed, nasolacrimal duct deformity, narrow needle, mild nasolacrimal duct bony Blockage) is a better method, the time required is short and the curative effect is fast.