【摘要】 目的报告应用泪总管探通术治疗急性泪囊炎的初步效果。设计回顾性病例系列。研究对象80例(80眼)急性泪囊炎形成脓腔但未形成泪囊漏的患者。方法在全身与局部大剂量广谱抗生素应用的基础上,在急性泪囊炎泪囊脓肿穿孔之前,及时行泪总管探通术,从上、下泪小点引流脓液。每日广谱抗生素冲洗脓腔,直至急性炎症控制。主要指标急性炎症控制时间及泪囊区炎症恢复情况。结果 80例患者中1例(1.3%)形成假道而改行泪囊切开引流术,79例(98.7%)患者均在3天内迅速控制急性炎症,皮肤未发生穿孔破溃。7～15天泪囊区皮肤基本恢复到正常颜色及厚度。结论适时施行泪总管探通术是快速缓解急性泪囊炎急性炎症的安全、有效的方法。更多还原

【Abstract】 Objective To report the curative effect of lacrimal passage probing surgery for acute dacryocystitis.Design Retrospective case series.Participants 80 cases(80 eyes) of acute dacryocystitis with abscess formation but without perforation.Method Based on local and systemic broad-spectrum antibiotics,the lacrimal passage probing surgery was promptly performed in 80 cases of acute dacryocystitis before the lacrimal abscess perforation,and drained the liquor pus from the superior-and inferior-dacrydot.Then the canalicular was daily washed with antibiotics until acute inflammation was controlled.Main Outcome Measures The controlled time of the acute inflammation and the skin reaction of dacryocyst area.Results 1 case(1.3%) in 80 cases formed the false passage,so undertaken the dacryocyst incision and drainage.Acute inflammation in other 79 cases(98.7%) was controlled within 3 days,and no skin ulceration happened.Within 7-15 days the local skin recovered normal color and thickness.Conclusion Our priliminary data shows that prompt lacrimal passage probing surgery for acute dacryocystitis to relieve acute inflammation is fast,safe and effective.更多还原