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目的探讨泪小管炎的诊断和治疗经验,从而避免误诊误治。方法在局麻下扩张或切开泪小管,用宽镊子或两个棉签挤压泪小管内脂质性物质,也可用刮匙清除,然后选择抗生素和抗真菌药物点眼和冲洗泪道,每周冲洗泪道2～3次。结果经过2～3周的治疗病侧眼逐渐好转并治愈,跟踪观察6个月未见复发。结论脂质潴留性泪小管炎主要与慢性泪囊炎相鉴别,确诊后用挤压泪小管内脂质性物质或用刮匙清除、药物冲洗全部治愈。
Objective To investigate the diagnosis and treatment of canalicular inflammation, so as to avoid misdiagnosis and mistreatment. Methods under local anesthesia to expand or incision lacrimal duct, with wide tweezers or two swabs squeeze lipid droplets within the canaliculus can also be used curette removal, and then select the antibiotics and anti-fungal drug eye and irrigation lacrimal week Wash lacrimal 2 to 3 times. Results After 2 to 3 weeks of treatment, the affected side of the eye gradually improved and healed. No recurrence was observed after 6 months of follow-up. Conclusions Lipid pericarditis is mainly differentiated from chronic dacryocystitis. After the diagnosis, lipid droplets in the lacrimal canaliculus are dissected or removed with a curette, and the drug flushing is completely cured.