Yu Gang, Hu Man, Liu Wen, Zhang Cheng-yue, Cui Yan-hui, Fan Yun-wei, Cao Wen-hong, Lin Qi, Cui Jie, Wu Qian
Department of Ophthalmology, Beijing Children's Hospital Affiliated to Capital Medical University, Beijing, China.
Zhonghua Yan Ke Za Zhi. 2013 Mar;49(3):263-7.
To report the presentation, complications, and treatment strategies for infants with congenital dacryocystocele.
We performed a retrospective chart review of all patients presenting with dacryocystoceles to Beijing Children's Hospital between 2007 and 2011.
Thirty-one patients (33 eyes) were identified, presenting at a median age of 10 days of life. Twenty-four (72.72%) patients presented with cellulitis or dacryocystitis and required systemic antibiotics. Two (6.45%) patients presented with respiratory compromise. Resolution occurred with conservative treatment for 6 eyes, but 27 (81.82%) required surgical intervention. All 27 eyes received probing, and 20 (74.07%) were successful. The other 7 eyes required marsupialization of an intranasal cyst.
Although congenital dacryocystoceles may resolve with conservative measures, many become infected and require systemic antibiotic treatment, and most require surgical intervention. Referral in the early neonatal period can aid in timely intervention before complications such as infection occur.
报告先天性泪囊膨出患儿的临床表现、并发症及治疗策略。
对2007年至2011年期间在北京儿童医院就诊的所有泪囊膨出患儿进行回顾性病历审查。
共纳入31例患者（33只眼），中位发病年龄为出生后10天。24例（72.72%）患者出现蜂窝织炎或泪囊炎，需要全身使用抗生素。2例（6.45%）患者出现呼吸功能不全。6只眼经保守治疗后症状缓解，但27只眼（81.82%）需要手术干预。所有27只眼均接受了泪道探通术，其中20只眼（74.07%）成功。另外7只眼需要对鼻内囊肿进行袋形缝合术。
虽然先天性泪囊膨出可能通过保守措施缓解，但许多会发生感染并需要全身抗生素治疗，且大多数需要手术干预。在新生儿早期转诊有助于在感染等并发症发生前及时进行干预。
