Galindo-Ferreiro Alicia, Khandekar Rajiv, Akaishi Patricia Mitiko, Cruz Augusto, Gálvez-Ruiz Alberto, Dolmetsch Angela, Schellini Silvana
a Department of Ophthalmology , Rio Hortega University Hospital , Valladolid , Spain.
b Department of Ophthalmology , King Khaled Eye Specialist Hospital , Riyadh , Saudi Arabia.
Semin Ophthalmol. 2018;33(3):435-442. doi: 10.1080/08820538.2017.1284872. Epub 2017 Feb 16.
To evaluate the success rates of endoscopic-assisted probing compared to conventional probing in children 48 months or older.
This retrospective study included children 48 months and older with CNLDO who underwent endoscopic-assisted probing or conventional probing between January 2011 to August 2015 at a tertiary eye care hospital in central Saudi Arabia. Probing was considered successful when signals of tearing or discharge disappeared and fluorescein dye disappearance test (FDDT) was normal. Demographic data, clinical features, intraoperative and postoperative variables were correlated to the success rate.
One hundred and twelve children with CNLDO undergoing endoscopic-assisted (37 patients) or conventional (75 patients) probing were included. The success rates of endoscopic-assisted and conventional probing were 94.6% [95% confidence interval (CI): 89.5-99.7] and 58.7% [95% (CI): 47.6-69.8], respectively. The success rate was higher with endoscopic probing, especially in older children.
Endoscopic-assisted probing can achieve better outcomes to treat CNLDO, even in older children. The significantly higher success rates with endoscopic probing are likely due to the ability to observe and treat associated problems.
评估48个月及以上儿童中，与传统探通术相比，内镜辅助探通术的成功率。
这项回顾性研究纳入了2011年1月至2015年8月期间在沙特阿拉伯中部一家三级眼科护理医院接受内镜辅助探通术或传统探通术的48个月及以上患有先天性鼻泪管阻塞（CNLDO）的儿童。当流泪或分泌物信号消失且荧光素染料消失试验（FDDT）正常时，探通术被认为成功。人口统计学数据、临床特征、术中及术后变量与成功率相关。
纳入了112例接受内镜辅助探通术（37例患者）或传统探通术（75例患者）的CNLDO患儿。内镜辅助探通术和传统探通术的成功率分别为94.6% [95%置信区间（CI）：89.5 - 99.7]和58.7% [95%（CI）：47.6 - 69.8]。内镜探通术的成功率更高，尤其是在年龄较大的儿童中。
内镜辅助探通术在治疗CNLDO方面可取得更好的效果，即使是在年龄较大的儿童中。内镜探通术成功率显著更高可能是由于能够观察和治疗相关问题。
