泪总管探通治疗急性泪囊炎的初步效果观察.pdfVIP

70 眼科2012 年第21 卷第 1 期 Ophthalmol CHN. 2012. Vol. 21. No.1 ·论著· 泪总管探通治疗急性泪囊炎的初步效果观察 乔玉春王智霞陈静 【摘要]目的报告应用泪总管探通术治疗急性泪囊炎的初步效果。设计回顾性病例系列。研究对象 80 例(80 眼)急性泪 囊炎形成版腔18.未形成泪囊漏的患者。方法在全身与局部大剂量r.谱抗生素应用的基础仁在急性泪囊炎汩囊版肿穿孔之前， 及时行泪总管探通术，从上、下泪小点引流腋液。每日r.谱抗生素冲洗版脏，直~急性炎症控制。主要指标急性炎症控制时间及 泪囊区炎症恢复情况。结果 80 例患者中 1 例( 1.3%)形成假道而改行在1囊切开引流术.79 例(98.7%)患者均在3 夭内迅速控制 急性炎症，皮肤未发生穿孔破溃。 7-15 天泪囊I正皮肤基本恢复到i正常颜色放厚度。结论适时施行泪总管探通术是快速缓解急 性泪囊炎急性炎症的安全、有效的方法。 (OM秤.2012， 21: 70- 72) 【关键词]急性泪囊炎/外科学;泪总管探通术 The preliminary appUcation of Iacrimal P翩翩ge probing su唱ery for acute dac叼创:ystitis QIAO Yu-chun, WANG Zhi-xia, CHEN Ji略 Dep耐附nt ofOpht阳， lmology， 仇e Fourth Hosp itaJ of ZIUUψakou of Hebei Province, Zhangjiakou 075α刀1， China Correspondi暗mahor: QIAO Yu-chun, Email: bear5555@sohιcom [Abstract] Obj创ve To re酬the curative effect of lacrimal p剧增probing surg町for 削te dac明ystitis. Design Retrospe• tive case seri臼. Participants 80 cas回 (80 eyes) of 缸ute dacry时ystitis with abscess formation but without perforation. Method 8ased on local and systemic broad叩ectrum antibiotics, lhe lacrimal passage probing surgery was promptly performed in 80 c眉目 of acule dacry∞ystitis before 出e lacrimal abscess perforation , and drained the Iiquor pus from lhe superior-and inferior-dacrydol. Then the canalicular was daily washed with antibiotics until acule inflammalion was conlrolled. Main Outcome Measures The controlled time of 由.e acute inflammation and the skin reaction of 也呵时ysl arω. Results 1 case (1.39的 in 80 cωes formed the false p.斟阔秽， so under- taken the dacryocysl incision and drainage. Acule inflammation in other 79 c俗剧 (98.7%) w.画 controlled wilhin 3 days, and no skin ul- ceration happened. Within 7-15 days the local skin recovered normal color and lhickness. Conclusion our priliminary data shows that prompt lacrimal 阳吨