Förster W, Peter A, Busse H
Universitäts-Augenklinik, Münster.
Ophthalmologe. 1997 Aug;94(8):587-90. doi: 10.1007/s003470050164.
Surgery on the lacrimal system in 296 children was performed at the Münster University Eye Hospital from 1987 to 1992.
The age of the patients, etiology of the obstruction and surgical strategy were analyzed retrospetively. A questionnaire was sent to the parents to allow evaluation of the results and subjective satisfaction.
A total of 181 questionnaires was sent back to our hospital (results of 210 operations, including 24 preoperations). Of the 124 children were up to 3 years old. 197 obstructions were congenital, 7 traumatic, 4 results of inflammation, and 2 iatrogenic. In 184 patients we performed intubation with silicon tubing. Seven patients had canalicular surgery, and 19 patients had dacryocystorhinostomy (DCR). After intubation 87.5% of patients were practically without complaints, after canalicular surgery 85.7% and after DCR 78.9%. Five patients suffered from severe problems and had to be reoperated.
1987年至1992年期间,明斯特大学眼科医院对296名儿童进行了泪器系统手术。
对患者年龄、阻塞病因及手术策略进行回顾性分析。向家长发放问卷以评估手术结果和主观满意度。
共181份问卷寄回我院(210例手术结果,包括24例术前情况)。124名儿童年龄在3岁及以下。197例阻塞为先天性,7例为外伤性,4例为炎症所致,2例为医源性。184例患者接受了硅胶管插管。7例患者进行了泪小管手术,19例患者进行了泪囊鼻腔吻合术(DCR)。插管后87.5%的患者几乎无不适,泪小管手术后为85.7%,泪囊鼻腔吻合术后为78.9%。5例患者出现严重问题,需再次手术。