泪道造影术在婴幼儿泪囊炎诊断中的应用研究

Application of dacryocystography in the diagnosis of dacryocystitis in infants and young children

摘要:

目的 评估泪道造影术在婴幼儿泪囊炎诊断中的临床价值。方法 回顾性分析2022年5月—2023年12月在保定市妇幼保健院就诊的200例泪囊炎患儿的临床资料。所有患儿接受泪道造影术检查，通过注入造影剂观察泪道通畅情况，对患儿的泪囊长度、泪囊左右径、泪囊前后径、泪囊体积进行评估。按照随机数字表法将患儿分为对照组和观察组，每组100例。对照组根据手术适应证，行泪道造影术治疗；观察组在对照组基础上使用鱼腥草滴眼液。观察两组治疗效果、恢复情况、并发症发生情况。结果 患儿泪囊长度为（9.89±4.69）mm，泪囊体积为（0.26±0.13）cm³。观察组总有效率高于对照组（P <0.05）。观察组泪道冲洗情况、术后眼部分泌物改善程度均优于对照组（P <0.05）。两组总不良反应发生率比较，差异无统计学意义（P >0.05）。结论 泪道造影术可以直观地观察泪道通畅情况并及时发现泪道阻塞。泪道造影术中使用药鱼腥草滴眼液能够显著提高婴幼儿泪囊炎的治疗效果，并降低相关并发症发生率。

Abstract:

Objective To determine the clinical value of dacryocystography for diagnosing dacryocystitis in infants and young children.Methods We conducted a retrospective analysis on clinical data of 200 infants and young children with dacryocystitis treated in our hospital from May 2022 to December 2023. All patients underwent dacryocystography, with contrast agents injected to observe lacrimal duct patency. Parameters such as length, horizontal diameter, anteroposterior diameter, and volume of the lacrimal sac were assessed. Patients were randomly assigned to the control group and the observation group using a random number table, with 100 cases in each group. The control group underwent dacryocystography based on indications, while the observation group was additionally treated with Houttuynia cordata eye drops. The therapeutic effects, recovery, and complications were compared between the two groups.Results The length of the lacrimal sac of the patients was (9.89 ± 4.69) mm, and the volume of the lacrimal sac was (0.26 ± 0.13) cm³. The overall effective rate of the observation group was higher than that of the control group (P < 0.05). The observation group showed better lacrimal duct irrigation and improvement in postoperative eye discharge compared with the control group (P < 0.05). There was no statistically significant difference in the overall incidence of adverse reactions between the two groups (P > 0.05).Conclusions Dacryocystography allows for direct observation of the patency of the lacrimal ducts and timely detection of any obstructions. The use of Houttuynia cordata eye drops during dacryocystography can significantly improve the therapeutic outcomes for dacryocystitis in infants and young children, and reduce the incidence of related complications.