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目的 探讨激光泪道成形术联合泪道内注入药物治疗小儿泪囊炎的临床疗效。方法 采用Nd :YAG泪道激光泪道成形术联合泪道内分别注入典必舒眼膏和生理盐水 ,共治疗慢性泪囊炎患者1 0 2例 1 1 2只眼。随访观察 3～ 6月。结果 典必舒组 6月冲洗通畅率为 98 2 1 % ,生理盐水组保持通畅者为 3 1眼 ,占 5 5 3 6% ,两组疗效差异有显著性 (χ2 =2 8 85 ,P <0 0 1 )。结论 采用Nd :YAG泪道激光泪道成形术联合泪道内注入典必舒眼膏 ,是成功率较高的治疗小儿泪囊炎的方法之一。
Objective To investigate the clinical effect of laser lacrimaloplasty combined with lacrimal injection for the treatment of pediatric dacryocystitis. Methods 100 cases of chronic dacryocystitis were treated with Nd: YAG lacrimal laser lacrimaloplasty and lacrimal duct respectively. Follow-up observation 3 to 6 months. Results The results showed that the patency rate of Dibisuma group in June was 98 2 1%, while that in the saline group was 31% (53 35%). There was significant difference between the two groups (χ2 = 2 8 85, P < 0 0 1). Conclusion Nd: YAG lacrimal laser lacrimaloplasty combined with intradermal injection of Codebusch ointment is one of the most successful treatments for pediatric dacryocystitis.