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[先天性泪囊炎的诊断与鉴别治疗程序问题]

[Problems of the diagnosis and differential treatment procedures in congenital dacryocystitis].

作者信息

Krasnov M M, Beloglazov V G

出版信息

Oftalmol Zh. 1989(3):146-50.

PMID:2797672
Abstract

The paper analyses effectiveness of treatment for dacryocystitis in 223 children, aged from 1 months up to 15 years. In 35 children the process was bilateral. In 232 cases dacryocystitis was congenital, in 26--acquired. Complex examination of lacrimal and upper respiratory tracts has revealed pathology in 53% of cases. In these cases preliminary sanation of upper respiratory tracts was made. A scheme of a staged treatment for congenital dacryocystitis is proposed, and results after treatment by retrograde catheterization in 161 children aged to 1.5 year and by endonasal dacryorhinostomy in 62 children above 2.5 years of life are analysed.

摘要

本文分析了223例年龄从1个月至15岁儿童泪囊炎的治疗效果。其中35例患儿病情为双侧性。232例泪囊炎为先天性,26例为后天性。对泪道和上呼吸道进行的综合检查显示,53%的病例存在病变。针对这些病例,首先对上呼吸道进行了初步清理。文章提出了先天性泪囊炎的分期治疗方案,并分析了161例1.5岁以下儿童采用逆行置管法治疗以及62例2.5岁以上儿童采用鼻内镜下泪囊鼻腔造口术治疗后的效果。

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