先天性鼻泪管阻塞患儿的保守治疗分析_West China Medical Journal

Authors：

刘绮 , 任菊琴

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Keywords：

先天性鼻泪管阻塞; 保守治疗

DOI：

51-1356/R.20120115.1552.027

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目的　总结4月龄以内的先天性鼻泪管阻塞患儿采取保守治疗的治愈率。方法　选择2009年4月－2010年1月明确诊断的先天性鼻泪管阻塞患儿55例，所有患儿均采用每天6次泪囊区按摩及每天6次抗生素眼液点眼的保守治疗，疗程持续4周。结果　 4例患儿因为严重的泪囊炎在保守治疗结束前进行了泪道探通，2例患儿因为严重的眼睑湿疹在保守治疗结束前进行了泪道探通，以上均归为未治愈者。37例患儿（67.27%）通过保守治疗治愈。结论　对于4月龄以内的先天性鼻泪管阻塞患儿，建议首先采用保守治疗。

Citation： 刘绮,任菊琴. 先天性鼻泪管阻塞患儿的保守治疗分析. West China Medical Journal, 2012, 27(1): 101-102. doi: 51-1356/R.20120115.1552.027 Copy

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14.	李平, 刘辅蓉, 莫元外. 儿童先天性鼻泪管阻塞的治疗[J]. 中国斜视与小儿眼科杂志, 2000, 8(1): 32-33.
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1. 　Kapadia MK, Freitag SK, Woog JJ. Evaluation and management of congenital nasolacrimal duct obstruction[J] . Otolaryngol Clin North Am, 2006, 39(5): 959.
2. 　龙艳, 刘亦文. 一次性探通冲洗法治疗新生儿泪囊炎163 例[J]. 眼科新进展, 2008, 28(8): 636.
3. 　张莉. 婴幼儿泪道探通术年龄探讨[J].中华眼科杂志，1997，33(2): 128.
4. 　Hirohiko K, Yasuhiro T, Shinsuke K, et al. The rate of symptomatic improvement of congenital nasolacrimal duct obstruction in Japanese infants treated with conservative management during the 1st year of age[J]. Clin Ophthalmol, 2008, 2(2): 291-294.
5. 　唐晓昭. 新生儿泪囊炎治疗方法探讨[J]. 国际眼科杂志, 2006, 6 (3): 728-729.
6. 　葛坚. 眼科学[M]. 北京: 人民卫生出版社，2005: 150.
7. 　胡文学. 泪囊按摩方式探讨[J]. 中国医药导报, 2009, 6(21): 90-91.
8. 　Broggi RJ. The treatment of congenital dacryostenosis[J]. Arch Ophthalmol, 1959, 61(1): 30-36.
9. 　MacEwen CJ, Phillips MG, Young JD. Value of bacterial culturing in the course of congenital nasolacrimal duct (NLD) obstruction[J]. J Pediatr Ophthalmol Strabismus, 1994, 31(4): 246-250.
10. 　Cha DS, Lee H, Park MS, et al. Clinical outcomes of initial and repeated nasolacrimal duct office-based probing for congenital nasolacrimal duct obstruction[J]. Korean J Ophthalmol, 2010, 24(5):　261-266.
11. 　Da Pozzo S, Pensiero S, Perissutti P. Management of congenital nasolacrimal duct obstruction[J]. Tim Prob Miner Pediatr, 1995, 47(6): 209-213.
12. 　刘莎利, 王纹姬, 田甜. 先天性鼻泪管阻塞自愈率[J]. 中国斜视与小儿眼科杂志, 2010, 18(1)：16-18.
13. 　Young JD, MacEwen CJ. Managing congenital lacrimal obstruction in generalpractice[J]. BMJ, 1997, 315(7103): 293-296.
14. 　李平, 刘辅蓉, 莫元外. 儿童先天性鼻泪管阻塞的治疗[J]. 中国斜视与小儿眼科杂志, 2000, 8(1): 32-33.
15. 　Foster JA, Katowitz JA, Heyman S. Results of dacryoscintigraphy in massage of the congenitally blocked nasolacrimal duct[J]. Ophthal Plast Reconstr Surg, 1996, 12(1): 32-37.
16. 　Nucci P, Capoferri C, Alfarano R, et al. Conservative management of congenital nasolacrimal duct obstruction[J]. J Pediatr Ophthalmol Strabismus, 1989, 26(1): 39-43.

West China Medical Journal

先天性鼻泪管阻塞患儿的保守治疗分析

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