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先天性鼻淚管阻塞的處理方法－單一淚小管沖洗
Monocanalicular Irrigation for the Treatment of Congenital Nasolacrimal Duct Obstruction
摘要
目的：「先天性鼻淚管阻塞」是嬰兒在臨床上常見的疾病，一般治療方法是「通淚管」，但是，是否是唯一的方法？本文作者使用新的方法－單一淚小管沖洗，來治療一歲以下嬰兒，觀察治療效果。 方法：從1997年2月至1998年6月，收集年齡為8個月至12個月（平約9.4個月），14位「先天性鼻淚管阻塞」的病人，共17隻眼睛，給予「單一淚小管沖洗」治療，評估手術療效與併發症。 結果：除了所有病人沒有發生手術後的併發症，在門診追蹤的兩個月期間，病人的流淚、溢淚與分泌物等臨床症狀也沒有再出現。 結論：「單一淚小管沖洗」的方法既簡單且安全，是治療一歲以下患有「先天性鼻淚管阻塞」嬰兒的優先選擇！
關鍵字
無資料並列摘要
Purpose: Congenital nasolacrimal duct obstruction is a common problem in infant. Probing of the duct is usually the initial surgical procedure. However, are there any methods to resolve the problem? There is a new operation method called monocanalicular irrigation that is presented in this article. The author from those patients who are younger than 1 year old evaluated the complications and results of this new technique. Patients and Methods: From February, 1997 to July, 1998, there were 14 patients, ranging from age 8 to 12 months, whose 17 sticky eyes underwent monocanalicular irrigation. Results: There were no postoperative complications in this study. During the 2-month follow up period of all patients, the resolutions of tearing, epiphora and discharge were achieved. Conclusion: In this study, the monocanalicular irrigation is an easy and safe treatment of choice for congenital nasolacrimal duct obstruction less than the age of 1 year.