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目的治疗先天性泪囊炎的疗效观察。方法利用加有妥布霉素、地塞米松的生理盐水作冲洗液行泪道冲洗,待泪囊分泌物减少后,行泪道探通术。结果经0.5~2年随访,116眼加压冲洗成功8眼(6.89%),探通成功103眼(88.79%),加压冲洗或泪道探通总治愈111眼达95.68%,无效5眼(4.13%)。结论先天性泪囊炎多是由鼻泪管下端鼻腔开口处被先天性膜组织封闭形成,对按摩、加压、冲洗无效者,尽早行泪道探通术,效果较好。
Objective To observe the curative effect of congenital dacryocystitis. Methods The use of added tobramycin, dexamethasone normal saline as a flushing fluid lacrimal duct wash, until the lacrimal sac secretions decreased, line lacrimal duct exploration. Results After 0.5 to 2 years of follow-up, 116 eyes were successfully treated by pressure-flushing in 8 eyes (6.89%), 103 eyes (88.79%) in sound exploration, 95.68% of 111 eyes were cured by pressure washing or exploration of lacrimal duct, (4.13%). Conclusions Congenital dacryocystitis is mostly caused by the congenital membranous tissue closed at the nasal opening of the nasolacrimal duct at the lower end. It is better to perform exploration of lacrimal passage as soon as possible on those who have no massage, pressure and irrigation.