Timing and method of lacrimal duct irrigation and probing in treatment of congenital nasolacrimal duct obstruction: a retrospective study of 3 558 cases

Chao CEN; Liying HE; Xueying TAO; Ya LIU

doi:10.16016/j.1000-5404.202106045

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Timing and method of lacrimal duct irrigation and probing in treatment of congenital nasolacrimal duct obstruction: a retrospective study of 3 558 cases

Clinical Medicine | 更新时间：2026-01-09

- Timing and method of lacrimal duct irrigation and probing in treatment of congenital nasolacrimal duct obstruction: a retrospective study of 3 558 cases
- Journal of Third Military Medical University Vol. 43, Issue 23, Pages: 2590-2595(2021)
- 作者机构：
  
  400021 重庆，重庆市妇幼保健院眼耳鼻喉科
- 作者简介：
- 基金信息：
  
  the Special Key Development Project of Science and Technology Innovation of Secial Undertakings and People's Livelihood Security of Chongqing(CSTC2017shms-zdyfX0049)
- DOI：10.16016/j.1000-5404.202106045
  CLC： R615;R777.22
- Received：06 June 2021，
  
  Revised：2021-06-30，
  
  Published：15 December 2021
- 稿件说明：
移动端阅览
Chao CEN, Liying HE, Xueying TAO, et al. Timing and method of lacrimal duct irrigation and probing in treatment of congenital nasolacrimal duct obstruction: a retrospective study of 3 558 cases[J]. Journal of Third Military Medical University, 2021, 43(23): 2590-2595.
DOI：

Chao CEN, Liying HE, Xueying TAO, et al. Timing and method of lacrimal duct irrigation and probing in treatment of congenital nasolacrimal duct obstruction: a retrospective study of 3 558 cases[J]. Journal of Third Military Medical University, 2021, 43(23): 2590-2595. DOI： 10.16016/j.1000-5404.202106045.

摘要

目的

探讨先天性泪道阻塞(congenital nasolacrimal duct obstruction，CNLDO)行泪道冲洗及泪道探通的最佳治疗时机及治疗方法。

方法

采用回顾性分析，选取2017年4月至2020年12月于重庆市妇幼保健院就诊的3 558例(5 514只眼)CNLDO患儿，共5 514只眼，根据患儿性别、分娩方式、治疗月龄进行分组，比较各组间泪道冲洗成功率的差异。对723例(723只眼)行泪道探通治疗的患儿按照月龄、泪道冲洗次数进行分组，比较各组间1次性探通成功率的差异。

结果

泪道冲洗治疗结果显示，

2月龄患儿1次通畅率最高，为66.36%，2~4月龄、

4~6月龄和

6月龄患儿1次通畅率分别为46.25%、38.05%和28.64%，不同月龄组间差异具有统计学意义(

0.001)；泪道冲洗的通畅率与分娩方式无关(

0.05)，男性冲洗通畅率(46.38%)大于女性(39.39%)(

0.05)。泪道探通术治疗结果也显示，患儿月龄越小、泪道冲洗次数越少，1次性探通成功率越高(

0.01)。

结论

先天性泪道阻塞行泪道冲洗及泪道探通治疗的时机越早，效果越好。在多次泪道冲洗不通畅时结合泪道探通术可有效治疗先天性泪道阻塞。

Abstract

Objective

To explore the best time and method of lacrimal duct irrigation and probing in the treatment of children with congenital nasolacrimal duct obstruction (CNLDO).

Methods

A total of 3 558 children with CNLDO (5 514 eyes) who were treated in our hospital from April 2017 to December 2020 were enrolled and retrospectively analyzed. They were divided into groups according to their gender

delivery mode and treatment age

and the success rate of lacrimal duct irrigation was compared among the corresponding groups. In addition

723 of the patients (723 eyes) who underwent lacrimal duct probing therapy were grouped according to their age and number of lacrimal duct irrigation

and the success rate of one-time patency was compared among the corresponding groups.

Results

In terms of lacrimal duct irrigation

the one-time patency rate was the highest in children aged

2 months (66.36%)

along with 46.25%

38.05% and 28.64% in children aged 2~4 months

4~6 months and

6 months

respectively

showing significant difference in age groups (

0.001). In addition

the patency rate of lacrimal duct irrigation was independent of the childbirth mode (

0.05)

and the patency rate of boys (46.38%) was higher than that of the girls (39.39%

0.05). As for the lacrimal duct probing

the treatment Results showed that the younger the children and the fewer the times of duct irrigation were

the higher the success rate of one-time patency of probing achieved (

0.01).

Conclusion

Earlier lacrimal duct irrigation and probing in the treatment for CNLDO will lead to better therapeutic efficacy. CNLDO can be effectively cured by lacrimal duct probing when repeated lacrimal duct irrigation fails.

关键词

Keywords

references

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