Profema - Fetal Medicine Centre, Prague, Czech Republic; Department of Obstetrics and Gynecology, Palacky University in Olomouc, Faculty of Medicine and Dentistry, University Hospital Olomouc, Olomouc, Czech Republic.
Profema - Fetal Medicine Centre, Prague, Czech Republic.
Taiwan J Obstet Gynecol. 2024 Sep;63(5):717-721. doi: 10.1016/j.tjog.2024.04.015.
To determine the incidence and present our experience with prenatal diagnosis and postnatal outcome of dacryocystocele.
All cases of congenital dacryocystocele diagnosed in our center between 2020 and 2022 were identified in our database to establish the incidence of these defects. The medical records were then reviewed for gestational age, gender, size, and side of dacryocystocele and postnatal outcome.
A total of 26 cases with dacryocystoceles were found at a mean gestation age of 30 weeks (range, 29-33 weeks). The overall incidence was 1.35%, there was an obvious female predominance (73%), 69% of cases were unilateral and 31% were bilateral. There were no serious associated anomalies. The postnatal outcome was obtained in 88% of cases (23/26), in 39% (9 out of 23) cases the dacryocystocele was confirmed postnatally, and in 7 (77%) of these it was complicated by dacryocystitis. The spontaneous resolution was more likely in the right-sided lesions, and this was statistically significant. The treatment in cases with dacryocystitis involved massage and local antibiotics and was successful in 71% of cases. 2 cases (29%) suffer from recurrent dacryocystitis and are followed up with recurrent probing and local antibiotics. No breathing difficulties were described postnatally in our study group.
The overall prenatal incidence of dacryocystocele was 1.35%. The outcome is favorable, 61% of dacryocystoceles in our study resolved spontaneously and in no case postnatal breathing complications were reported. Dacryocystitis was common in persisting cases but was usually treated successfully by massage and antibiotics. The right-sided dacryocystoceles are more likely to resolve spontaneously than left-sided, and this was the only significant factor predicting persistence.
确定先天性泪囊囊肿的发病率，并介绍我们的产前诊断和产后结局经验。
在我们的数据库中确定了 2020 年至 2022 年期间在我们中心诊断出的所有先天性泪囊囊肿病例，以确定这些缺陷的发病率。然后回顾了病历以了解泪囊囊肿的胎龄、性别、大小和侧别以及产后结局。
共发现 26 例泪囊囊肿，平均胎龄为 30 周（范围为 29-33 周）。总体发病率为 1.35%，明显以女性为主（73%），69%为单侧，31%为双侧。无严重伴发畸形。88%（23/26）的病例获得了产后结局，在 23 例中有 39%（9 例）在产后证实了泪囊囊肿，其中 7 例（77%）并发了泪囊炎。右侧病变更有可能自发缓解，这具有统计学意义。对于有泪囊炎的病例，治疗包括按摩和局部抗生素，成功率为 71%。2 例（29%）患有复发性泪囊炎，正在接受反复探通和局部抗生素治疗。在我们的研究组中，没有描述产后呼吸困难的情况。
先天性泪囊囊肿的总体产前发病率为 1.35%。结局良好，本研究中 61%的泪囊囊肿自发缓解，无 1 例报告产后呼吸并发症。在持续存在的病例中，泪囊炎很常见，但通常通过按摩和抗生素治疗可以成功治疗。右侧泪囊囊肿比左侧更有可能自发缓解，这是唯一具有预测意义的持续存在的显著因素。
