外伤性断离泪小管显微吻合术的临床应用观察

A Clinical Observation of Laceration Canaliculus Anastomosis with Microsurgical Techniques

目的评价显微吻合外伤性泪小管断离的临床疗效。方法对32例外伤性泪小管断离患者进行了显微吻合术并留置支撑管,随访1～3年。结果本组病例28例泪道恢复通畅,3例狭窄,仅1例失败。结论应用显微外科技术吻合断离泪小管,手术简便,成功率高,值得推广应用。

Objective To estimate the curative effect of anastomosed laceration canaliculus. Methods Retrospective analysis was done on 32 patients with traumatic laceration canaliculus who were anastomosed under microscope. The patients were followed up 1 - 3 years after surgery. The function of lacrimal drainage system was evaluated by irrigation at the last follow-up visit. Results Patent lacrimal drainage system was achieved in 28 patients with primary reconstruction. Stenosis of the canaliculus occurred in three patients and failure in one. Conclusion Anastomosed laceration canaliculus with microsurgical techniques is simple and convenient with a high success rate, and should be widely applied.