泪小管断裂吻合术28例的治疗体会

Experience of 28 Cases Anastomosis in Lacrunal Canaliculi Division

目的:评价手术显微镜下泪小管断裂吻合术的疗效。方法:泪小管断裂28例(28眼),其中下泪小管断裂24例,共24眼,上泪小管断裂4例(4眼)。采用注气或注液法、直视法、试探法、探通法寻找泪小管鼻侧断端,并利用硬膜外麻醉导管作支撑,连接、固定泪小管断端行吻合术。结果:28例,共28眼经3个月-1年以上随访,自觉不流泪,泪道冲洗通畅者26眼(92．82％)。结论:泪小管断裂利用硬膜外麻醉导管作支撑行泪小管吻合术,方法简便、省时,成功率高。

Objective：To evaluate the effect of anastomosis in lacrimal canaliculi division under operation microscope. Methods： Among the 28 cases（28 eyes） of the lacrimal canaliculus laceration , 24 cases were the lower lacrimal canaliculus laceration , 4 cases were upper lacrimal canaliculus laceration , the nasal end was found by routine method and anastomosis was opened to prop up with epidural anaesthesis catheter. Results.. All the 28 cases（28 eye） were followed up from 3 months to 1 year. 26 eyes （92. 82%） obtained anatomical success. Conclusion： Lacrimal canaliculus laceration were treated to prop up with epidural anaesthesis catheter , it is a simple and time-saving method , and the success rate is higher.