摘要
Abstract
Objective To analysis the early diagnosis and treatment of the dacryocanaliculitis cured by medicine and surgical treatment. Methods 14 cases of dacryocanaliculitis were cured by medicine and surgical treatment from January 2000 to December 2010. The cases were diagnosised by lacrimal canlaliculus secretion through bacertial and fungal culture or strain identification , combined with 2 ~ 3 kinds antibiosis medication, necessary lacrimal canlaliculus incision. Results 14 cases with medicine and surgical treatment of dacryocanaliculitis , secretion culture in 5 cases with fungal growth , including 2 cases are Candida, 2 cases are aspergillus, 1 cases is fusarium. Bacterial culture was found to have 3 cases of actinomyces, 3 cases of staphylococcus , 2 cases of moraxella, no found the pathogen is 1 cases, lacrimal canlaliculus concretion have 6 cases, pathological examination find 2 cases are Candida, 1 cases is aspergillus , 3 cases are actinomyces. Antibiosis medication course of treatment 18 ~56 d, and showed efectfrom the first 5 ~7 day , the lacrimal canlaliculus secretion is decrease , dacryon red and swollen is ease off. 13 cases cased had no recurrence during the follow -up, curative ratio 92. 9% ,1 cases cures futility. Conclusion lacrimal canlaliculus bacertial or fungal culture and lacrimal canlaliculus concretion pathological examination is simple and efective in the early diagnosis of dacryocanaliculitis , Antibiotic therapy and lacrimal canlaliculus Incision can get a good effect.关键词
泪小管炎/诊断/药物治疗/泪小管切开Key words
Dacryocanaliculitis/Diagnosis/Medication/Lacrimal canlaliculus incision
