Efficacy and safety of lacrimal sac massage, lacrimal duct lavage, and dacryocystorhinostomy in combination for the treatment of congenital dacryocystitis
10.3760/cma.j.cn341190-20240601-00669
- VernacularTitle:泪囊按摩、泪道冲洗联合泪道探通术治疗先天性泪囊炎的有效性与安全性分析
- Author:
Wei DU
1
;
Leming FU
1
;
Yingying MA
1
Author Information
1. 绍兴市妇幼保健院眼科，绍兴 312000
- Publication Type:Journal Article
- Keywords:
Dacryocystitis;
Massage;
C-reactive protein;
Eyelids;
Edema;
Comparative effectiveness research
- From:
Chinese Journal of Primary Medicine and Pharmacy
2025;32(2):245-249
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the efficacy and safety of lacrimal sac massage, lacrimal duct lavage, and dacryocystorhinostomy in combination for the treatment of congenital dacryocystitis.Methods:This study used a prospective study design, enrolling 150 children diagnosed with congenital dacryocystitis who received treatment at the Department of Ophthalmology, Shaoxing Maternity and Child Healthcare Hospital between January 2021 and December 2023. The children were randomly assigned to either a control group or an observation group using a random number table method. The control group ( n = 75) received lacrimal sac massage and lacrimal duct lavage, while the observation group ( n = 75) underwent a combination of lacrimal sac massage, lacrimal duct lavage, and dacryocystorhinostomy. Tear secretion score, level of inflammatory factor C-reactive protein, clinical efficacy, and complications (false passages, eyelid edema, and damage to the lacrimal duct mucosa) were compared between the two groups. Results:At 3 months after treatment, tear secretion score in the observation group was significantly lower than that in the control group [(1.55 ± 0.39) vs. (2.62 ± 0.58), t = 13.26, P < 0.05). At 3 months after treatment, the C-reactive protein level in the observation group was significantly lower than that in the control group [(1.38 ± 1.10) mg/L vs. (3.14 ± 1.27) mg/L, t = 9.07, P < 0.05). The cure rate in the observation group was significantly higher than that in the control group [97.33% (73/75) vs. 88.00% (66/75), χ2 = 4.81, P < 0.05]. There was no significant difference in the incidence of complications between the observation and control groups [9.33% (7/75) vs. 6.67% (5/75), χ2 = 0.36, P > 0.05]. Conclusions:The combination of lacrimal sac massage, lacrimal duct irrigation, and lacrimal duct probing has shown good efficacy in treating congenital dacryocystitis. This approach can decrease the severity of tearing, reduce the levels of inflammatory factors, achieve a high overall response rate, and lead to fewer complications.
