本文選題：激素性或非激素性眼液　切入點(diǎn)：上淚小點(diǎn)　出處：《眼科新進(jìn)展》2015年04期 　論文類型：期刊論文

【摘要】：目的對(duì)比分析自上淚小點(diǎn)或下淚小點(diǎn)不同的手術(shù)進(jìn)針方式進(jìn)行淚道探通,及術(shù)中應(yīng)用含激素性或非激素性眼液進(jìn)行淚道沖洗對(duì)嬰幼兒淚囊炎的療效。方法選取我院嬰幼兒淚囊炎患者771例(1064眼),按年齡分為3組:7 d~1歲組(632眼),1~2歲組(268眼),2~4歲組(164眼);按不同的手術(shù)進(jìn)針方式分為2組:上淚小點(diǎn)組和下淚小點(diǎn)組;按不同淚道沖洗液分為2組:含激素性沖洗液和非含激素性沖洗液。觀察各組療效情況。結(jié)果 7 d~1歲組、1~2歲組、2~4歲組患兒治愈率分別為97.5%、85.4%和36.6%,各組間差異均有統(tǒng)計(jì)學(xué)意義(均為P0.05)。7 d~1歲組上淚小點(diǎn)術(shù)式治愈率為99.1%,顯著高于下淚小點(diǎn)術(shù)式的95.9%,差異有統(tǒng)計(jì)學(xué)意義(P=0.020);1~2歲組上淚小點(diǎn)術(shù)式治愈率為92.5%,顯著高于下淚小點(diǎn)術(shù)式的78.4%,差異有統(tǒng)計(jì)學(xué)意義(P=0.002);2~4歲組使用含激素性淚道沖洗液治愈率為53.3%,顯著高于使用非含非激素性淚道沖洗液的16.2%,差異有統(tǒng)計(jì)學(xué)意義(P=0.000)。結(jié)論嬰幼兒淚囊炎隨著患兒年齡的增長,淚道探通的治愈率逐漸降低;上淚小點(diǎn)術(shù)式淚道探通術(shù)更適合于≤2歲的嬰幼兒淚囊炎患者;激素性淚道沖洗液更適合于2~4歲的嬰幼兒淚囊炎患者。
[Abstract]:Objective to compare and analyze the different surgical methods of lacrimal passage exploration from the upper or lower lacrimal dots. The effect of intraoperative lacrimal passage irrigation with steroidal or nonhormonal eye fluid on dacryocystitis in infants and children was studied. Methods 771 cases of infant dacryocystitis were divided into 3 groups according to their age: 632 eyes of 1 year old group and 268 eyes of 2 year old group. 164 eyes of 4 years old group were divided into 2 groups according to different operative needle ways: upper lacrimal dot group and lower lacrimal dot group; According to the different lacrimal passage flushing fluids, they were divided into two groups: steroid-containing irrigation fluid and non-hormonal irrigation solution. The curative effect was observed in each group. Results the cure rate of 7D group was 97.5% and 36.6% respectively, and the cure rate was 97.5% and 36.6%, respectively. The cure rate of the upper lacrimal dot was 99.1 in the group of 1 year old, which was significantly higher than that in the group of the lower point of lacrimal tear. The difference was statistically significant, and the cure rate of the group of 2 years old was 92.5, which was significantly higher than that of 78.4% of the group of the small point of the lower tear. The cure rate of steroid-containing lacrimal passage flushing was 53.3, which was significantly higher than that of non-steroidal lacrimal duct irrigation (16.2g), and the difference was statistically significant (P < 0.01). Conclusion Dacryocystitis of infants and children increases with age. The cure rate of lacrimal passage exploration decreased gradually, the upper lacrimal dacryocystitis operation was more suitable for the infants with dacryocystitis 鈮，

本文編號(hào)：1651921