摘要目的 探讨新生儿泪囊炎治疗的时机和方法.方法 对2011年3月至2014年2月在信阳职业技术学院附属医院眼科就诊的236例(289只眼)新生儿泪囊炎患者,按月龄分为:2～6个月,7～12个月,13～26个月三组.2～6个月龄患儿先采取按摩泪道和冲洗泪道保守治疗,无效者及时给予泪道探通术;＞6个月龄患儿直接采取泪道探通术.术后随访1～12个月.结果 采取按摩和冲洗泪道保守治疗的2～6个月龄患儿162只眼,6只眼治愈,治愈率为3.70％ (6/162).泪道探通术治疗的患儿283只眼,274只眼治愈,总治愈率为96.82％ (274/283).2～12个月龄患儿泪道探通术治愈率与＞12个月龄患儿治愈率,两者之间比较差异有统计学意义(P＜0.05).结论 泪道探通术治疗2个月龄以上的新生儿泪囊炎治愈率高,是一种安全、有效、简便、经济的治疗方法,值得临床推广应用.

abstractsObjective To investigate the timing and method of treatment of neonatal dacryoeystitis.Methods A total of 236 cases (289 eyes) of neonatal dacryoeystitis patients were divided into three groups of 2-6 months, 7-12 months, and 13-26 months and were observed respectiveiy.First, the treatments of massage lacrimal passage and flushing lacrima passage for children 2-6 months were taken.If conservative measures were to no avail, probing lacrimal passage was timely applied.The probing of lacrimal passage was given to more than 6 months of children.The post operative follow-up periods were 1 month to 12 months.Results Among 162 eyes, 6 cases of 2-6 months children were cured after massage lacrimal passage and flushing lacrimal passage.The cure rate was 3.70％ (6/162);274 cases (283 eyes) were cured after probing of lacrimal passage, and the cure rate was 96.82％ (274/283).The cure rate of children 2-12 months was higher than that of the ＞12months.There was statistical significant difference between two groups (P ＜0.05).Conclusions The cure rate of children ＞2 months of neonatal daryoeystitis by probing of lacrimal passage is high.The higher the cure rate, the younger the ages are.It is a safe, effective, convenient and economy method for treating neonatal daryocystitis and is worth to spreading.