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目的评价鼻泪道探通术在先天性泪囊炎治疗中早期干预的临床价值。方法把出生1～4月经保守治疗无效的332例(365眼)患儿根据年龄分为1～2月组、～3月组和～4月组。采用一次性泪道冲洗和鼻泪道探通术进行治疗。观察每组的一次性治愈率,治愈方法的构成比例以及并发症。结果1～2月组一次性治愈率为99．1%比～3月组93．9%和～4月组86．3%高(P＜0．05),并且该组泪道冲洗治愈的比例为9．2%亦比～3月组2．8%和～4月组1．7%高(P＜0．05)c总共出现2例皮下水肿患结论先天性泪囊炎患儿经保守治疗无效时,在其满月后应尽早采用鼻泪道探通术进行干预。
Objective To evaluate the clinical value of nasolacrimal duct exploration in early intervention in the treatment of congenital dacryocystitis. Methods A total of 332 children (365 eyes) with conservative treatment from January to April were divided into 1 ~ 2 months group, ~ 3 months group and ~ 4 months group according to their age. A one-time lacrimal irrigation and nasolacrimal duct exploration technology for treatment. Observe the one-time cure rate of each group, the composition of the cure method and complication. Results The one-time cure rate was 99.1% in the 1-month group compared with 93.9% in the March group and 86.3% in the April-April group (P <0.05), and the lacrimal irrigation was cured The proportion of 9.2% was also higher than 2.8% in the March group and 1.7% in the April group (P <0.05). In total, there were 2 cases of subcutaneous edema in children with congenital dacryocystitis Conservative treatment fails, after its full moon should be early nasolacrimal duct exploration and intervention.