12个月以上患者鼻泪管探通术的治疗效果及比较
Outcomes and comparison of nasolacrimal probing for patients older than 12 months.
作者信息
Zor Kürsad Ramazan, Küçük Erkut, Yılmaz Öztorun Zeynep
机构信息
Assistant Professor, Department of Ophthalmology, Ömer Halisdemir University Training and Research Hospital, Niğde, Turkey.
Assistant Professor, Department of Pediatrics, Ömer Halisdemir University Training and Research Hospital, Aşağı Kayabaşı Mahallesi, 51100 Niğde, Turkey.
出版信息
Ther Adv Ophthalmol. 2020 Jun 26;12:2515841420927138. doi: 10.1177/2515841420927138. eCollection 2020 Jan-Dec.
OBJECTIVE
In this study, we report the results of probing done in our clinic. We also want investigate role of late probing on outcome, especially in children older than 24 and 48 months.
METHODS
We retrospectively evaluated records of patients who underwent probing under general anaesthesia due to congenital nasolacrimal duct obstruction between 2013 and 2017 in Nigde Ömer Halisdemir University Faculty of Medicine in Nigde, Turkey. Success rates of probing for different age groups were compared.
RESULTS
143 eyes of 123 patients were included in the study. Overall success rate was 93.7% (134 eyes out of 143). We found the success rate as 95.5 in 12-18 months age group, 93.3% in 18-24 months age group, 93.8% in the 24-48 months age group, 86.6% in the 48 months and older age group. Overall success rate in 24 months and older age group was 91.5%. The second operation was performed on seven of the nine patients where the initial surgery failed, and successful results were achieved in six patients. Success rate was 100% after the second surgery in patients older than 48 months.
CONCLUSION
The success rate of probing is high in patients with congenital nasolacrimal duct obstruction from 12 to 84 months. In patients with congenital nasolacrimal duct obstruction who are older than 48 months probing is effective and should be first-choice in this age group in management of congenital nasolacrimal duct obstruction. Probing may be used even in older patients who had previous unsuccessful probing.
目的
在本研究中，我们报告了在我们诊所进行探查的结果。我们还想研究晚期探查对治疗结果的作用，特别是在24个月和48个月以上的儿童中。
方法
我们回顾性评估了2013年至2017年在土耳其尼代省奥梅尔·哈利斯德米尔大学医学院因先天性鼻泪管阻塞而在全身麻醉下接受探查的患者记录。比较了不同年龄组的探查成功率。
结果
123例患者的143只眼纳入研究。总体成功率为93.7%（143只眼中有134只眼成功）。我们发现12 - 18个月年龄组的成功率为95.5%，18 - 24个月年龄组为93.3%，24 - 48个月年龄组为93.8%，48个月及以上年龄组为86.6%。24个月及以上年龄组的总体成功率为91.5%。9例初次手术失败的患者中有7例接受了二次手术，其中6例取得了成功结果。48个月以上患者二次手术后的成功率为100%。
结论
12至84个月的先天性鼻泪管阻塞患者探查成功率较高。对于48个月以上的先天性鼻泪管阻塞患者，探查是有效的，在该年龄组先天性鼻泪管阻塞的治疗中应作为首选。即使是之前探查失败的老年患者也可进行探查。
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