摘要目的 总结原发性泪小管炎的特征和治疗体会.方法 回顾性分析37例原发性泪小管炎患者的流行病学特征、临床表现、微生物学检查结果、病理检查结果及治疗效果.结果 37例患者中,男性10例,女性27例；就诊年龄36～84岁；发生在下泪小管者24例,发生在上泪小管13例.在这37例患者中有11例患者曾被误诊.主诉最常见的为分泌物多；体征最多见的是泪小点隆起,呈鱼嘴状,上面有黏脓性分泌物,挤压病变泪小管有脓性分泌物和结石溢出.采取泪小管切开手术后,随访半年以上,无复发.术中所有患者均发现结石,管壁扩张,肉芽形成.14例分泌物培养有细菌生长,主要为革兰阴性杆菌.结论 泪小管是一种发病率较低的疾病,易误诊.泪小管炎治疗为泪小管切开,方法简便,效果满意.

abstractsObjective To describe the clinical presentation,microbiological profile,and management outcome of primary canaliculitis.Methods Retrospective,interventional case series.Clinical records of all patients diagnosed with primary canaliculitis and treated in shanghai peace eye hospital,between 2003 and 2012 were reviewed.Retrospective data analysis included demographic profile,clinical presentation,microbiological profile,and management outcomes.The management was punctoplasty with canalicular curettage.Results Of the 37 patients,27 were women.Mean age at presentation was between 36 years and 84 years old.Lower canaliculus was involved in 24 patients,upper canaliculus in 13 patients.The most common presenting symptom was purulent discharge,and the most common clinical Sign was thickening of canalicular portion.Microbiological workup was available in 37 patients,of whom 14 yielded positive results.The most common isolate was Gram-negative bacilli.Punctoplasty with canalicular curettage resulted in resolution in all 37 patients.Conclusions Primary canaliculitis is an uncommon disease,which is often misdiagnosed.Punctoplasty with canalicular curettage is the gold standard treatment for canaliculitis.