山东大学耳鼻喉眼学报 ›› 2023, Vol. 37 ›› Issue (2): 71-74.doi: 10.6040/j.issn.1673-3770.0.2021.530
• 论著 • 上一篇
吕萍1,李丹丹1,宋伟1,洪流2
LV Ping1, LI Dandan1, SONG Wei1, HONG Liu2
摘要: 目的 探讨在鼻内镜辅助下行鼻泪道探通术治疗新生儿期泪囊炎的手术时机及临床疗效。 方法 选取大连市妇女儿童医疗中心(集团)收治的22例(43眼)新生儿期泪囊炎患儿,其中男6例、女16例,平均年龄22 d,所有患儿均有体温升高、患侧面部鼻部肿胀明显,患侧内眦以下泪囊区红肿及压痛,伴有大量脓性分泌物等症状,在保守治疗无效的情况下,行鼻内镜辅助下鼻泪道探通术,术后观察泪囊炎的治疗效果。 结果 22例泪囊炎患儿均行泪道探通术治疗,术后随访8个月~2年,所有患儿症状均好转。 结论 年龄<3个月患儿因泪道阻塞出现感染、红肿等症状时,保守治疗无效可行泪道探通,鼻内镜辅助手术可精确定位,避免鼻腔黏膜损伤。
中图分类号:
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